症例 challenge · ENT / Emergency · teaching

Epistaxis — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on AAFP / MSD

Case #1ENT / Emergency

📋 Case data

Anterior or posteriorAnterior, localizable/self-limited

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Anterior or posterior

After first-aid compression — anterior or posterior? Airway status?

💡 >90% anterior (Kiesselbach's plexus, mostly self-limited); posterior (sphenopalatine artery) is heavier/bilateral/draining into the throat with higher airway risk. Assess airway/vitals first (brisk posterior bleeding → airway risk). First aid: sit up and lean forward, continuously pinch the cartilaginous part of the nose (below the nasal bones) for 10–15 minutes without releasing + topical vasoconstrictor (oxymetazoline/epinephrine-soaked cotton).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.