Abstract
Epistaxis, being the commonest ENT emergency requiring hospital admission, is clearly an important condition — not only to the specialist but also to any general practitioner. The role of routine coagulation studies in the management of patients suffering from epistaxis is unclear. In an attempt to address this issue, the prospective case study was carried out in the department of ENT in Government medical college and hospital Nagpur over span of 2 years from October 2001 to November 2003 in which 100 cases were studied. Coagulation studies were carried out in 100 patients but only 7 patients had abnormal coagulation profile. No other coagulation abnormalities were identified. This study supports the view that there does not appear to br role for routine coagulation studies in patients of epistaxis. The investigation for potential haemostatic disorder should be performed when clinically indicated and if necessary, in consultation with the hematology service.
Keywords: Idiopathic Epistaxis, Coagulation Studies
Full Text
The Full Text of this article is available as a PDF (496.5 KB).
References
- 1.de Gruchy’s Clinical Haematology in Medical Practice 5th edn (Edited by Frank Firkin, Colin Chesterman) Coagulation Disorders Chapter 15; 406–453; Haemorrhagic Disorders Chapter 14; 360–405.
- 2.Drake-Lee AB. The physiology of the nose and paranasal sinuses. In: Gleeson Nil., editor. Scott—Brown’s Otolaryngologv. 6th ed. Oxford Butterworth: Heinemann; 1996. [Google Scholar]
- 3.Hippocrates Translation by Jones W.H.S. (1923–1931) Aphorisms V. 33,4. 167, Airs. Waters and Places IV. 1. 79. London Wellcome Historical Museum.
- 4.Holland S, Thaha MA, Nilssen ELK, White PS. Coagulation studies In patients admitted with epistaxis — current practice in Scotland Journal of laryngol otol. 1999;113:1086–9. doi: 10.1017/s0022215100157950. [DOI] [PubMed] [Google Scholar]
- 5.Holland S, Thaha MA, Nilsseu ELk. Coagulation studies in patients admitted with epistaxis-current practice in scottland. Journal of laryngology of otology. 2000;113(12):1086–8. doi: 10.1017/s0022215100157950. [DOI] [PubMed] [Google Scholar]
- 6.Lund VJ. In: Anatomy of the nose and paranasal sinuses in Scott-Brown’s Otolaryngology. 6th edn. Gleeson, editor. Oxford Butterworth: Hennemann; 1996. [Google Scholar]
- 7.Mckenzie ID. Little’s area of a locus Kiesselbachi. Journal of Laryngology and Otology. 1984;29:21–21. [Google Scholar]
- 8.Ogura JH, Senturia BH. Epistaxis. Laryngoscope. 1989;59:743–763. doi: 10.1288/00005537-194907000-00006. [DOI] [PubMed] [Google Scholar]
- 9.Padgham N. Epistaxis : anatomical and clinical correlates. Journal of Laryngology and Otology. 1990;104:308–311. doi: 10.1017/s0022215100112563. [DOI] [PubMed] [Google Scholar]
- 10.Premachandra DJ. Management of posterior epistaxis with the use of the fibreoptic nasolaryngoscope. Journal of Laryngology and Otology. 1991;105:17–19. doi: 10.1017/s0022215100114719. [DOI] [PubMed] [Google Scholar]
- 11.Jones R. Mac Nab. BAB Dale Idiopathic epistaxis. JLO. 1971-1982;59:1324–1330. [Google Scholar]
- 12.Shaheen OH. In: Epistaxis in: Scott Browns Otolaryngology. 5th edn. Mackay I. S., Bulh T. R., editors. London: Butterworths; 1987. pp. 272–282. [Google Scholar]
- 13.Smith IM, Ludlam CA, Murray JA. Haematological indices in elderly patients with epistaxis. Health Bull. 1988;46:227–81. [PubMed] [Google Scholar]
- 14.Thaha MA, Nilssen EL, Holland S, Love G, White PS. Routine coagulation screening in the mgt of emergency admission for epistaxis. — Is it necessary? Journal of Larygology and otology. 2000;114(1):38–40. doi: 10.1258/0022215001903861. [DOI] [PubMed] [Google Scholar]
