Epistaxis

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Epistaxis Originating From Middle Turbinate
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Epistaxis Originating From Middle Turbinate

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While most nosebleeds originate from the anterior nasal septum, sometimes they occur from other areas within the nasal cavity. In this case the source of bleeding were the large vessels seen on the anterior...

Osler Weber Rendu Disease Inferior Turbinate
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Osler Weber Rendu Disease Inferior Turbinate

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Notice the numerous telangiectatic spots on the anterior surface of this left inferior turbinate.

Osler Weber Rendu Disease Lips
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Osler Weber Rendu Disease Lips

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Telltale telangiectatic spots may be found on the surface of the lips, tongue and fingertips in Osler Weber Rendu Disease.

Tears of Blood
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Tears of Blood

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In rare cases of severe epistaxis, blood may run up the nasal lacrimal duct and appear as "tears of blood".

Small Hemangioma on Ethmoid Bulla
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Small Hemangioma on Ethmoid Bulla

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The site of origin of recurring epistaxis is not always easily identified. Nasal endoscopes have proven invaluable for identification of the site of bleeding and for the application of site-specific...

Nasal Septum Post Cauterization with Silver Nitrate
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Nasal Septum Post Cauterization with Silver Nitrate

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In many cases of recurrent epistaxis, when the offending area has been identified, the vessels may be cauterized by the application of silver nitrate after a topical anaesthetic has been applied. This...

Large Blood Vessels Anterior Nasal Septum
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Large Blood Vessels Anterior Nasal Septum

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In this patient two relatively large blood vessels can be seen on the right anterior nasal septum.

Kiesselbach's Plexus
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Kiesselbach's Plexus

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Sometimes the vessels in Kiesselbach's Plexus may become quite large and, by virtue of their superficial location susceptible to damage from the most minimal trauma. The result is frequent spontaneous...

Little's Area Of The Anterior Nasal Septum
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Little's Area Of The Anterior Nasal Septum

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A highly vascular region, Kiesselbach' s Plexus of vessels arises in Little' s area of the nasal septum. Kiesselbach' s Plexus is the area of termination of the major blood vessels of this area: the anterior...

Hemotympanum From Epistaxis Case
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Hemotympanum From Epistaxis Case

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This patient developed a hemotympanum from blood travelling up the eustachian tube during an episode of severe epistaxis.

Little's Area Vascular Ectasia
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Little's Area Vascular Ectasia

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Abnormal dilated, tortuous, and arcades of submucosal blood vessels of Little's area of nasal septum which potentially can burst and cause epistaxis. 

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