Epistaxis

Introduction to Epistaxis

Welcome to the Epistaxis subsection of the ENT for the MSRA course.

This section is designed to provide comprehensive and structured learning materials to help you understand and master the topic of Epistaxis for the MSRA.

Epistaxis, or nosebleeds, is a common ENT emergency that requires prompt and effective management. Understanding the underlying causes, diagnostic steps, and appropriate interventions is essential for optimal patient care.


In this subsection, you will find the following resources to aid your revision:

  1. Epistaxis Revision Notes for the MSRA: Detailed and concise revision notes covering all essential aspects of Epistaxis, including its causes, symptoms, diagnosis, and treatment. These notes are based on UK NICE guidelines and formatted in tables for easy recall.
  2. Epistaxis Flashcards for the MSRA: Interactive flashcards to help you memorise key facts and concepts about Epistaxis. These are perfect for quick reviews and reinforcing your knowledge.
  3. Epistaxis Accordion Q&A Notes for the MSRA: Engage in active learning with question-and-answer style revision notes in the accordion format. This is useful for testing your understanding of Epistaxis and focusing on areas needing improvement.
  4. Epistaxis Rapid Fire Quiz for the MSRA: A short quiz to test your knowledge and recall of Epistaxis-related concepts. It’s an excellent way to assess your progress and pinpoint areas for further review.

Key Points about Epistaxis:

  • Definition: Epistaxis refers to bleeding from the nasal cavity, which can be anterior or posterior in origin.
  • Causes: Common causes include trauma (e.g., nose picking, injury), infections, dry air, hypertension, anticoagulant use, and systemic conditions like clotting disorders.
  • Symptoms: Presenting symptoms include nasal bleeding, which may be unilateral or bilateral, along with potential dizziness, weakness, or signs of blood loss if severe.
  • Diagnosis: Diagnosis involves a thorough history and examination, including anterior rhinoscopy. Blood tests may be needed in cases of recurrent or severe bleeding to check for clotting abnormalities.
  • Management: Management includes first aid measures (pinching the nose, leaning forward), topical vasoconstrictors, cautery, nasal packing, and referral to ENT specialists for severe cases. Addressing underlying causes is also crucial.
  • Complications: Untreated or severe cases can lead to hypovolemia, anemia, or aspiration of blood.

We hope you find these resources helpful and engaging as you prepare for the MSRA. Don’t forget to explore related topics in the ENT section to broaden your knowledge.

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Free MSRA Podcast: Epistaxis

https://open.spotify.com/episode/5iqiQqRcYOO97krKx0P6Rs?si=t3Sabdp3S7muyxhXZqbBtA