Pediatric emergency medicine trisk 0573 0573
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compression and indications for repeat evaluation. For patients with specific local
abnormalities, such as tumors, polyps, or telangiectasias, referral to an ENT
specialist is necessary. Such referral might also be considered if bleeding were
severe, recurrent, or suspected to be posterior in origin. When epistaxis is noted in
patients with a recent tonsillectomy/adenoidectomy, ENT consultation should be
obtained before determining if it is safe to discharge them home.
Suggested Readings and Key References
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Eshghi P, Jenabzade A, Habibpanah B. A self-controlled comparative clinical trial
to explore the effectiveness of three topical hemostatic agents for stopping
severe epistaxis in pediatrics with inherited coagulopathies. Hematology
2014;19(6):361–364.
Kamble P, Saxena S, Kumar S. Nasal bacterial colonization in cases of idiopathic
epistaxis in children. Int J Pediatr Otorhinolaryngol 2015;79(11):1901–1904.
Ritter FN. Vicarious menstruation. In: Strome M, ed. Differential Diagnosis in
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Stokhuijzen E, Segbefia C, Biss T, et al. Severity and features of epistaxis in
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Svider P, Arianpour K, Mutchnick S. Management of epistaxis in children and
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