...
Is there hypertension? The patient with hypertension could have either essential or symptomatic hypertension. Be sure to recheck the blood pressure, as other health ... DIAGNOSTIC WORKUP
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Is there chest pain? If there is chest pain along with the hemoptysis, one should suspect a pulmonary embolism.
Is there fever and/or purulent sputum? The presence of fever and ... DIAGNOSTIC WORKUP
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Bilateral or posterior nasal epistaxis (nosebleed) suggests a medical etiology; unilateral epistaxis suggests a physical cause or local structural abnormality. Because the nose protrudes from the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hemoptysis is defined as coughing up blood from a source below the vocal cords. Other potential sites of bleeding (nose, mouth, throat, GI system) must be eliminated; it can be particularly... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hemoptysis is defined as coughing or spitting up blood. Blood can originate from any anatomic site that communicates with the mouth (the “aerodigestive” tract): the mouth, sinuses, nasopharynx,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Most bleeding arises from the rich network of blood vessels of Kisselbach plexus in Little area of the anterior nasal septum. Most epistaxis resolves spontaneously or after a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnostic approach to epistaxis is anatomic and histologic. Table 27 breaks the nasal passages into anatomic and histologic
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... True hemoptysis must be distinguished from epistaxis (see page 188) and hematemesis (see page 261). If the blood is bright red and alkaline (use nitrazine paper to test) and the nasal passages and
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... A common sign, epistaxis (nosebleed) can be spontaneous or induced from the front or back of the nose. Most nosebleeds occur in the anterior-inferior nasal septum (Kiesselbach's plexus), but they may also... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Frightening to the patient and commonly ominous, hemoptysis is the expectoration of blood or bloody sputum from the lungs or tracheobronchial tree. It’s sometimes confused with bleeding from the mouth, throat,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Upper Gastrointestinal Bleeding
Inflammation
Esophageal ulcer
Gastric
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... Pseudohemoptysis
Blood of upper gastrointestinal origin
Upper airway lesions
Epistaxis
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... Epistaxis, commonly known as a nosebleed, may be a primary disorder or may occur secondary to another condition. Such bleeding in children generally originates in the anterior nasal... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... The most common facial fracture, a fractured nose usually results from blunt injury and may be associated with other facial fractures. The fracture’s severity depends on the direction, force, and type of the blow. A severe, comminuted... Signs and symptoms
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Epistaxis
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... A common sign, epistaxis (nosebleed) can be spontaneous or induced from the front or back of the nose. Most nosebleeds occur in the anterior-inferior nasal septum (Kiesselbach’s... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Hemoptysis
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Frightening to the patient and often ominous, hemoptysis is the expectoration of blood or bloody sputum from the lungs or tracheobronchial tree. It’s sometimes confused with bleeding from the mouth, throat,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Mark B. Stephens
Gastrointestinal (GI) bleeding is responsible for 1% to 2% of all hospital admissions in the United States (1). Bleeding can be either acute or chronic. The source can be upper or... Approach ... History ... Physical examination ... Laboratory evaluation ... Diagnostic assessment ... Pictures
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Hemoptysis
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Kathryn M. Larsen and Mary Knudtson
Hemoptysis is defined as the coughing up or expectoration of blood from the tracheobronchial tree, which can be from the... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Nosebleed
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Douglas G. Browning and Stephen H. Keiser
Nosebleed, or epistaxis, is a common otolaryngologic problem, with 15/10,000 persons requiring physician care annually for this problem, and 1.6/10,000 requiring... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Trauma
❑ Sinusitis
❑ Uncontrolled hypertension ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
Upper GI
❑ Peptic ulcer disease
❑ Gastritis
❑ Mallory-Weiss tear ... DIagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Bronchitis
❑ Pneumonia
❑ Pulmonary edema
❑... Diagnostic Approach ... Differential Diagnosis ... Pictures
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... Nosebleed, or epistaxis, may either be a primary disorder or occur secondary to another condition. Such bleeding in children generally originates in the anterior nasal septum... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... The most common facial fracture, a fractured nose usually results from blunt injury and is commonly associated with other facial fractures. The severity of the fracture depends on the direction, force, and type of the blow. ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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Hemoptysis
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Frightening to the patient and often ominous, hemoptysis is the expectoration of blood or bloody sputum from the lungs or tracheobronchial tree. It’s sometimes confused with bleeding from the mouth, throat,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A common sign, epistaxis can be spontaneous or induced from the front or back of the nose. Most nosebleeds occur in the anterior-inferior nasal septum (Kiesselbach’s plexus), but they may also occur at the point where the... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A common sign, epistaxis (nosebleed) can be spontaneous or induced from the front or back of the nose. Most nosebleeds occur in the anterior-inferior nasal septum (Kiesselbach’s area), but they may also occur at... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Frightening to the patient, hemoptysis is the expectoration of blood or bloody sputum from the lungs or tracheobronchial tree. It’s sometimes confused with bleeding from the mouth, throat, nasopharynx, or GI... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Epistaxis
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Epistaxis(bleeding from nose) is common occurrence in childhood and adolescence. >90% of nosebleedsarise from anterior aspect of nasal septum. Principal Causes of Epistaxis ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Can occuranywhere from nose and mouth to anus. Bleeding that occurs proximal to ligamentof Treitz is considered upper tract bleeding, whereas bleeding thatoccurs distal to this... Principal Causes of Gastrointestinal Bleeding ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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Hemoptysis
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Hemoptysisis the coughing up of blood or blood-stained sputum. It is a manifestation of bleeding intothe lungs or conducting airways, and as a consequence, blood also... Principal Causes of Hemoptysis ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... A common sign, epistaxis (nosebleed) can be spontaneous or induced from the front or back of the nose. Most nosebleeds occur in the anterior-inferior nasal septum (Kiesselbach's plexus), but they may also occur at the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Frightening to the patient and commonly ominous, hemoptysis is the expectoration of blood or bloody sputum from the lungs or tracheobronchial tree. It's sometimes confused with... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The differential diagnostic approach to epistaxis is anatomic and
histologic. Table 27 breaks the nasal passages into anatomic
and histologic components and cross-indexes... Pictures
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...
True hemoptysis must be distinguished from epistaxis and hematemesis . If the blood is bright red and
alkaline (use nitrazine paper to test) and the nasal passages and... Pictures
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... Sheila M. Nolan, MD
Nosebleeds - BASICS
Nosebleeds - description
Epistaxis: Bleeding from the nose
Bleeding ... Nosebleeds - DIAGNOSIS ... Nosebleeds - TREATMENT ... Nosebleeds - FOLLOW UP ... Nosebleeds - bibliography ... Nosebleeds - CODES ... Nosebleeds - PATIENT TEACHING-MED ... Nosebleeds - FAQ
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