Serotonin Syndrome Dr Swapnil Pawar
Diuretics Dr Swapnil Pawar
IV Thyroxine in Brain Dead Organ Donors Dr Swapnil Pawar
Dr Swapnil Pawar
Notes written by Dr Ashley Liu
Keisselbach’s plexus is the anastomosis of three primary vessels – the septal branch of the anterior ethmoidal artery; the lateral nasal branch of the sphenopalatine artery, and the septal branch of the superior labial branch of the facial artery.
Nosebleeds are most commonly caused by mucosal trauma or irritation, but persisting nosebleeds can be certainly associated with a number of other conditions.
Medical conditions that increase risk for persistent nosebleed
If persisting bleeds, consider bilateral nasal packing.
An ENT referral is recommended for further inspection and definitive management of uncontrolled bleeds
Advise the patient
“Approach to adult with epistaxis” UpToDate; https://www.uptodate.com.acs.hcn.com.au/contents/approach-to-the-adult-with-epistaxis
“Anticoagulants” Clinical Excellence Commission; https://www.cec.health.nsw.gov.au/keep-patients-safe/medication-safety/high-risk-medicines/anticoagulants