EPISTAXIS- CONTRIBUTORY AND ASSOCIATED FACTORS AND MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Epistaxis is the most common otolaryngologic emergency and affects up to 60% of the population in their lifetime, and 6% require medical attention. The variability of severity can range from outpatient management to admission to the intensive care unit from conservative treatment. The management of a patient with epistaxis ranges from the replacement of blood loss, direct visualisation and cautery, nasal packing and surgical (endoscopic or external) and embolisation. The objective of this study is to measure the contributory and associated factors for patients presenting to the ENT emergency with Epistaxis. It is considered as the second most common condition, in which patient presents to ER. In the present study, a total of 42 patients presenting with epistaxis to the ENT Casualty at Govt. ENT Hospital has been studied retrospectively. The aim of this study is to study the factors associated and contributing to the Epistaxis. MATERIALS AND METHODS This is a retrospective descriptive study of Epistaxis cases, which presented to ENT casualty from January 2015 to December 2015. The study included a total of 42 cases above 7 years and below 80 years. Consent was taken for the study. The cases were evaluated with appropriate investigations. Diagnostic Endoscopic Examination was done whenever required. RESULTS Out of 42, 31 patients were males and 11 were females with M: F ratio of 2.81: 1, M (73.28%), F (26.1%). Min Blood pressure of the patient at presentation was 90 systolic/ 60 diastolic mmHg, max BP was 170 systolic/ 110 diastolic mmHg. With mean BP being 126 systolic/ 82 diastolic mmHg, haemoglobin on admission was min: 6 gm% and max: 15.3 gm% with mean Hb% being 11.52%. 7 patients (16.66%) had history of alcohol consumption, 6 (40%) patients were known hypertensives, 28 (66.67%) patients were managed conservatively with bilateral anterior nasal packing with BIPP, 9 (21.4%) were managed with postnasal packing and ANP, 3 (7.1%) were managed with silver nitrate cautery and 2 (4.7%) with bipolar cautery under local anaesthesia. CONCLUSION Epistaxis is more common in elderly age group, B+ve blood group, most commonly managed with Bilateral Anterior Nasal Packing, most common reason being hypertension.
Authors and Affiliations
Sreenivas K, Achyuth P
Keywords
Related Articles
- EP ID EP411254
- DOI 10.14260/jemds/2018/267
- Views 58
- Downloads 0
LAPAROSCOPIC TREATMENT OF HYDATID CYST OF LIVER
BACKGROUND Hydatid cyst may occur in any part of the Liver. Surgery remains the gold standard in terms of treatment of patients of hydatid cyst in liver. Laparoscopic treatment is safe in hydatid liver disease. Objective...
STUDY OF HYPONATREMIA IN PAEDIATRIC PATIENTS WITH ACUTE LOWER RESPIRATORY TRACT INFECTION
BACKGROUND Hyponatremia is one of the most common electrolyte abnormalities seen in paediatric intensive care unit. Common conditions associated with hyponatremia are pneumonia, acute meningitis, and Kawasaki disease. We...
HENOCH-SCHONLEIN PURPURA - CLINICAL AND INVESTIGATIVE STUDY OF 20 PATIENTS
BACKGROUND Henoch-Schonlein Purpura (HSP) is a systemic small vessel vasculitis with multiorgan involvement characterised by palpable purpura, arthritis, abdominal pain and renal disease. The aetiology and clinical featu...
CORRELATION OF OSSICULAR CHAIN DEFECTS WITH AUDIOMETRIC PROFILE IN PATIENTS WITH CHRONIC SUPPURATIVE OTITIS MEDIA SQUAMOUS EPITHELIAL TYPE
BACKGROUND Chronic suppurative otitis media (CSOM) is a common disease seen in otolaryngology practice. Two clinical types are seen, squamous epithelial and mucosal. The squamous epithelial type is associated with choles...
ROLE OF FINE NEEDLE CYTOLOGY IN THE DIAGNOSIS OF HEAD & NECK MASS LESIONS
[b]CONTEXT:[/b] Although head and neck masses are fairly common clinical presentation, it may be the only, or one of several nonspecific findings in serious illnesses like lymphoma or metastatic cancer. Thus, th...