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Epistaxis

Aaron Bright, MD and Jan Shoenberger, MD
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24:44
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Tag ENT

From diagnosis to treatment to what we should worry about, Aaron and Jan clear up the confusion and turn epistaxis from a bad day to smiles all around.

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Lisa A., PA-C -

Hello,
If I a patient on coumadin comes in with epistaxis, is it appropriate or standard of care to have a PT/INR checked?

Mizuho M., DO -

Hi Lisa, Great question! Yes I would check it. It would change your management if the patient was SUPRA-therapeutic. You would have them hold their warfarin dose and have it rechecked &/or refer them to ED if you could not control the bleeding. More on this exact topic coming from Dr.Rick Pescatore and Mike Weinstock who literally recorded this exact question this week! Thanks for the questions and keep them coming! ~Miz

Stephanie G. -

What type of oral antibiotics should be used when we place anterior packing?

Mike W., MD -

It is a little controversial if they are needed at all, but amoxicillin or cephalexin are reasonable choices

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