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EPISTAXIS

EPISTAXIS. DR.LAL.M.P. Prof & Head .dept of surgery. LITTLE’S AREA. AETIOLOGY OF EPISTAXIS (NOSE BLEED). LOCAL CAUSES. Trauma Infection granulomatous diseases fungal infection Physiological epistaxis Congenital tumours. SYSTEMIC DISEASES. Hypertension

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EPISTAXIS

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  1. EPISTAXIS DR.LAL.M.P. Prof & Head .dept of surgery

  2. LITTLE’S AREA

  3. AETIOLOGY OF EPISTAXIS (NOSE BLEED)

  4. LOCAL CAUSES • Trauma • Infection granulomatous diseases fungal infection • Physiological epistaxis • Congenital • tumours

  5. SYSTEMIC DISEASES • Hypertension • Bleeding diathesis • Leukaemia • Anaemia • Uraemia • Exanthematous fevers • Hodgkin’s disease • Cirrhosis of liver • Acute nephritis • Vitamin k deficiency • Mitral stenosis

  6. HORMONAL FACTORS • Puberty • Pregnancy • Granuloma gravidarum • Vicarious menstruation

  7. MANAGEMENT • GENERAL ASSESMENT OF THE PATIENT. • MONITOR THE PULSE AND BP. • CLEAN THE NOSE WHICH IS THEN PINCHED FOR ABOUT TEN MINUTES .ONCE THE BLEEDING IS CONTROLLED ,THE NOSE IS EXAMINED AND SITE IS LOCATED. • IF NECESSORY ,IV INFUSIONS AND BLOOD TRANSFUSION. • CAUTERISATION,NASAL PACKING,ADJUVENT THERAPY AND LIGATION OF BLOOD VESSELS.

  8. HOMOEOPATHIC THERAPEUTICS • AMMONIUM CARB • BELLADONNA • ARNICA MONTANA • HAMAMELIS • MELILOTUS • MILLEFOLIUM • CROCUS SATIVUS • CROTALUS HORRIDUS • PHOSPHORUS • SECALE COR • TUBERCULINUM • IPECAC

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