DeLaroche AM; Tigchelaar H; Kannikeswaran N
BACKGROUND: Epistaxis is a accepted emergency administration (ED) complaint; however, this commodity is attenuate amid accouchement adolescent than 2 years of age. In this age group, epistaxis may be a presenting assurance of a bleeding ataxia or nonaccidental trauma.
CASE REPORT: We present a case of a 2-month-old baby who was evaluated in the pediatric ED for epistaxis and absolved home. The baby alternate 2 days after with facial abscess and irritability, and was begin to accept cogent arch trauma. In this commodity we analysis the epidemiology and cogwheel diagnoses for epistaxis amid infants, as able-bodied as the antecedent access to the appraisal of this aberrant analytic commodity in this age group. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Potential etiologies for epistaxis amid breed and adolescent accouchement accommodate astringent systemic ache and nonaccidental trauma. Given its aberration and accessible analytic significance, the access to epistaxis differs in this age group. Emergency physicians should awning for and exclude a bleeding ataxia while additionally accepting a actual low beginning for a nonaccidental agony evaluation.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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