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Doctors Medicines MCQs Q&A

  1. "Sit up with your head tilted forward. Grasp the soft part of your nose firmly between your thumb and forefinger"
  2. "Lay down and tilt your head backward. Grasp the end of your nose between your fingers"
  3. "Sit up and lean backwards. Put pressure on the side of your nose with your hand"
  4. "Lay down and tilt your head to one side and put pressure on the side of your nose with your hand
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1 Answers

Option 1 : "Sit up with your head tilted forward. Grasp the soft part of your nose firmly between your thumb and forefinger"

Concept:-

Nasal bleeding (epistaxis):

  • Bleeding from inside the nose is called epistaxis.
  • Fairly common and is seen in all age groups.
  • Epistaxis refers to nose bleed or hemorrhage from the nose.
  • It mostly commonly originates in the anterior portion of the nasal cavity.

Causes:

  • External trauma
  • Foreign bodies in nasal cavities.
  • Neoplasms.
  • Mycotic ulceration of B.V. in the wall of the guttural pouch around the guttural pouch.
  • Encapsulated hematoma in the nasal cavity.
  • Erosion of the nasal mucosa in glanders.
  • Internal trauma due to passage of nasal tube or endoscope.

Management in epistaxis:

  • Keep the patient quiet
  • Place the patient in a sitting position leaning forward, semi-fowler position.
  • Apply direct pressure by pinching the entire soft lower portion of the nose for 10 – 15 min.
  • Apply an icepack to the nose and cheek area.
  • Losing clothes and giving reassurance.
  • Partially insert a small gauze pad into the nose. 

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