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918:) for at least five minutes and up to 30 minutes. Pressure should be firm and tilting the head forward helps decrease the chance of nausea and airway obstruction due to blood dripping into the airway. When attempting to stop a nosebleed at home, the head should not be tilted back. Swallowing excess blood can irritate the stomach and cause vomiting.
790:
medication and disorders of blood clotting can promote and prolong bleeding. Spontaneous epistaxis is more common in the elderly as the nasal mucosa (lining) becomes dry and thin and blood pressure tends to be higher. The elderly are also more prone to prolonged nosebleeds as their blood vessels are
1448:
Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth,
1089:
Ongoing bleeding despite good nasal packing is a surgical emergency and can be treated by endoscopic evaluation of the nasal cavity under general anesthesia to identify an elusive bleeding point or to directly ligate (tie off) the blood vessels supplying the nose. These blood vessels include the
785:
contains a rich blood supply that can be easily ruptured and cause bleeding. Rupture may be spontaneous or initiated by trauma. Nosebleeds are reported in up to 60% of the population with peak incidences in those under the age of ten and over the age of 50 and appear to occur in males more than
1125:
The utility of local cooling of the head and neck is controversial. Some state that applying ice to the nose or forehead is not useful. Others feel that it may promote vasoconstriction of the nasal blood vessels and thus be useful. In
Indonesian traditional medicine, betel leaf is used to stop
1449:
Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (7 January 2020). "Clinical
Practice Guideline: Nosebleed (Epistaxis) Executive Summary".
1047:
and the Rapid Rhino. The
Merocel nasal tampon is similar to gauze packing except it is a synthetic foam polymer (made of polyvinyl alcohol and expands in the nose after application of water) that provides a less hospitable medium for bacteria. The Rapid Rhino stops nosebleeds using a balloon
1027:
If pressure and chemical cauterization cannot stop bleeding, nasal packing is the mainstay of treatment. Nasal packing is typically categorized into anterior nasal packing and posterior nasal packing. Nasal packing may also be categorized into dissolvable and non-dissolvable types.
817:
Sometimes blood flowing from other sources of bleeding passes through the nasal cavity and exits the nostrils. It is thus blood coming from the nose but is not a true nosebleed, that is, not truly originating from the nasal cavity. Such bleeding is called "pseudoepistaxis"
382:
About 60% of people have a nosebleed at some point in their life. About 10% of nosebleeds are serious. Nosebleeds are rarely fatal, accounting for only 4 of the 2.4 million deaths in the U.S. in 1999. Nosebleeds most commonly affect those younger than 10 and older than 50.
1153:" and "nosebleed seats" are common slang for seating at sporting or other spectator events that are the highest up and farthest away from the event. The reference alludes to the propensity for nasal hemorrhage at high altitudes, usually owing to lower barometric pressure.
1042:
Traditionally, nasal packing was accomplished by packing gauze into the nose, thereby placing pressure on the vessels in the nose and stopping the bleeding. Traditional gauze packing has been replaced with other non-dissolvable nasal packing products such as
438:
Most causes of nose bleeding are self-limiting and do not require medical attention. However, if nosebleeds are recurrent or do not respond to home therapies, an underlying cause may need to be investigated. Some rarer causes are listed below:
814:, a venous plexus situated in the posterior part of inferior meatus. Posterior bleeds are often prolonged and difficult to control. They can be associated with bleeding from both nostrils and with a greater flow of blood into the mouth.
1052:, which has a cuff that is inflated by air to stop bleeding through extra pressure in the nasal cavity. Systematic review articles have demonstrated that the efficacy in stopping nosebleeds is similar between the Rapid Rhino and
1167:, "picking blood from one's nose" and "begging for a nosebleed" are commonly used in abstract meaning to describe self-destructive behaviour, for example ignoring safety procedures or deliberately aggravating stronger parties.
938:
may be applied into the bleeding side(s) of the nose followed by application of direct pressure. Those with nosebleeds that last longer than 30 minutes (despite use of direct pressure and vasoconstrictive medications such as
1106:. There is no difference in outcomes between embolization and ligation as treatment options, but embolization is considerably more expensive. Continued bleeding may be an indication of more serious underlying conditions.
1039:. The thrombogenic foams and gels do not require removal and dissolve after a few days. Typically, dissolvable nasal packing is first attempted; if the bleeding persists, non-dissolvable nasal packing is the next option.
2065:
Iqbal, I. Z.; Jones, G. H.; Dawe, N.; Mamais, C.; Smith, M. E.; Williams, R. J.; Kuhn, I.; Carrie, S. (December 2017). "Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review".
1080:
can occur with prolonged nasal packing. As a result, any patient who has non-dissolvable nasal packing should be given prophylactic antibiotic medication to be taken as long as the nasal packing remains in the nose.
2666:
2651:
2632:
1064:. Patients who receive non-dissolvable nasal packing need to return to a medical professional in 24–72 hours in order to have packing removed. Complications of non-dissolvable nasal packing include
1174:
slang, to "have a nosebleed" is to have serious difficulty conversing in
English with a fluent or native English speaker. It can also refer to anxiety brought on by a stressful event such as an
890:
Individuals who suffer from nosebleeds regularly, especially children, are encouraged to use over-the-counter nasal saline sprays and avoid vigorous nose-blowing as preventative measures.
1902:
J. F. Lubianca Neto; F. D. Fuchs; S. R. Facco; M. Gus; L. Fasolo; R. Mafessoni; A. L. Gleissner (1999). "Is epistaxis evidence of end-organ damage in patients with hypertension?".
2780:
1003:) is usually applied prior to cauterization. Silver nitrate can cause blackening of the skin due to silver sulfide deposit, though this will fade with time. Once the
3273:
367:
in the nose. Initially, treatment is generally the application of pressure for at least five minutes over the lower half of the nose. If this is not sufficient,
1056:
packs; however, the Rapid Rhino has been shown to have greater ease of insertion and reduced discomfort. Posterior nasal packing can be achieved by using a
2773:
879:
People with uncomplicated nosebleeds can use conservative methods to prevent future nosebleeds such as sleeping in a humidified environment or applying
348:. There are two types: anterior, which is more common; and posterior, which is less common but more serious. Anterior nosebleeds generally occur from
1580:
3903:
2766:
614:. Due to the sensitive location, nosebleeds caused by tumors are typically associated with other symptoms, such as hearing or vision problems.
3266:
2550:
1954:
1060:, blowing up the balloon when it is in the back of the throat, and applying anterior traction so that the inflated balloon occludes the
995:
to the nasal mucosa, which burns and seals off the bleeding. Eventually the nasal tissue to which the chemical is applied will undergo
2567:
3259:
786:
females. An increase in blood pressure (e.g. due to general hypertension) tends to increase the duration of spontaneous epistaxis.
999:. This form of treatment is best for mild bleeds, especially in children, that are clearly visible. A topical anesthetic (such as
2404:
1117:
helps promote blood clotting. For nosebleeds it can be applied to the site of bleeding, taken by mouth, or injected into a vein.
1160:
tribe includes reference to women who experience nosebleeds as a result of a lover's playing of music, implying sexual arousal.
3390:
3142:
2265:
1868:
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Nosebleeds can be a sign of cancer in the sinus area, which is rare, or tumors starting at the base of the brain, such as
435:
can cause inflammation and thinning of the tissue in the nose, leading to a greater likelihood of bleeding from the nose.
3565:
3548:
1733:
Svider, Peter; Arianpour, Khashayar; Mutchnick, Sean (June 2018). "Management of
Epistaxis in Children and Adolescents".
728:
456:
452:
2003:
Béquignon, E.; Teissier, N.; Gauthier, A.; Brugel, L.; Kermadec, H. De; Coste, A.; Prulière-Escabasse, V. (2017-08-01).
1856:
1605:
2493:
2337:"Effectivity of Betel Leaf (Piper betle L.) Gel Extract in Shortening Bleeding Time After Deciduous Tooth Extraction"
2319:
2292:
1564:
1499:
Joseph, Jonathan; Martinez-Devesa, Pablo; Bellorini, Jenny; Burton, Martin J (2018-12-31). Cochrane ENT Group (ed.).
1031:
Dissolvable nasal packing materials stop bleeding through use of thrombotic agents that promote blood clots, such as
112:
3627:
3579:
527:
415:, blunt trauma (such as a motor vehicle accident), or insertion of a foreign object (more likely in children). Low
1815:
3346:
2431:
3633:
3619:
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Villwock, JA; Jones, K (Dec 2013). "Recent trends in epistaxis management in the United States: 2008–2010".
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3607:
3570:
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3148:
2161:
2120:
Killick, N; Malik, V; Nirmal Kumar, B (Mar 2014). "Nasal packing for epistaxis: an evidence-based review".
1189:, "pretending to have a nosebleed" is a saying that means pretending not to know anything about something.
532:
1146:, nosebleeds often signify intense mental focus or effort, particularly during the use of psychic powers.
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3336:
3167:
691:
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20:
810:. Bleeding farther back in the nose is known as a posterior bleed and is usually due to bleeding from
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411:
Nosebleeds can occur due to a variety of reasons. Some of the most common causes include trauma from
2336:
3801:
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1103:
1094:, anterior and posterior ethmoidal arteries. More rarely the maxillary or a branch of the external
687:
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nosebleeds as it contains tannin which causes blood to coagulate, thus stopping active bleeding.
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using a catheter placed in the groin and threaded up the aorta to the bleeding vessel by an
54:
A three-year-old child with a minor nosebleed from falling and hitting his face on the floor
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811:
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1976:
Guarisco JL, Graham HD (1989). "Epistaxis in children: causes, diagnosis, and treatment".
8:
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and may also be used to control benign cases of epistaxis. For example, a few sprays of
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1594:
Wilson, I. Dodd (1990). Walker, H. Kenneth; Hall, W. Dallas; Hurst, J. Willis (eds.).
1559:(17th ed.). Shelton, Conn.: People's Medical Pub. House/B C Decker. p. 551.
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2016:
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1698:"Work Table I. Deaths from each cause by 5-year age groups, race and sex: US, 1999"
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The arteries that supply
Kiesselbach's plexus (responsible for anterior nosebleeds)
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2020:
1142:, nosebleeding often indicates that the bleeding person is sexually aroused. In
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and then apply pressure to the soft anterior part of the nose (by pinching the
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Nasal bleeds may be due to fracture of facial bones namely maxilla and zygoma.
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241:
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2513:(2 ed.). Toronto, Ontario: Random House of Canada Limited. p. 274.
2335:
Tedjasulaksana, Regina; Nahak, Maria
Martina; Larasati, Ratih (2017-01-04).
1880:
637:(usually a sharp blow to the face such as a punch, sometimes accompanying a
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1321:
1300:
Kucik, Corry J.; Clenney, Timothy (2005-01-15). "Management of epistaxis".
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1989:
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2716:
2257:
Oxford textbook of primary medical care. Buch, 1: Principles and concepts
907:
903:
724:
711:
572:
514:
399:, the one on the right having a nosebleed due to a punch to the face, in
322:
162:
906:. Those who have a nosebleed should first attempt to blow out any blood
848:
3846:
3811:
3786:
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3181:
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3074:
3034:
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2004:
911:
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337:
328:
Risk factors include trauma, including putting the finger in the nose,
252:
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376:
245:
172:
1597:
Clinical
Methods: The History, Physical, and Laboratory Examinations
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can be ligated. The bleeding can also be stopped by intra-arterial
1032:
996:
795:
761:
595:
548:
472:
428:
310:
306:
290:
966:
3796:
3755:
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2834:
2819:
1501:"Tranexamic acid for patients with nasal haemorrhage (epistaxis)"
1065:
1053:
1036:
975:
884:
756:
717:
566:
556:
552:
404:
3740:
3156:
3136:
3111:
2824:
2655:
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2002:
1944:
The
Journal of Laryngology & Otology (2008), 122: 1074–1077
1346:
Tabassom, A; Cho, JJ (January 2020). "Epistaxis (Nose Bleed)".
1061:
833:
396:
302:
2119:
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2916:
2260:(1 ed.). Oxford: Oxford Univ. Press. 2005. p. 711.
1854:
1224:
1215:
1206:
1157:
1139:
1135:
734:
680:
298:
1556:
Ballenger's otorhinolaryngology : head and neck surgery
957:
667:(such as from descent in aircraft or ascent in scuba diving)
317:
occurs. Blood may also be forced to flow up and through the
2377:"Manga: The Complete Guide, reviewed by Richard von Busack"
2334:
294:
74:
1955:"Taking control of nosebleeds - Mayo Clinic Health System"
714:(particularly prolonged or improper use of nasal steroids)
575:(particularly prolonged or improper use of nasal steroids)
485:—cirrhosis causes deficiency of factor II, VII, IX,& X
477:
101:
92:
80:
2509:
Various (1984). Erdoes, Richard; Ortiz, Alfonso (eds.).
1732:
1785:"Nosebleeds & Headaches: Do You Have Brain Cancer?"
930:
are widely available over the counter for treatment of
3281:
2211:
836:
and ending up in the nasal cavity, then dripping out.
2452:
2396:
1629:
Krulewitz, NA; Fix, ML (February 2019). "Epistaxis".
1447:
113:
104:
98:
95:
86:
71:
2614:
2598:
2212:
Folz, BJ; Kanne, M; Werner, JA (November 2008). "".
2064:
1855:
Corry J. Kucik; Timothy
Clenney (January 15, 2005).
898:
Most anterior nosebleeds can be stopped by applying
375:
may also be helpful. If bleeding episodes continue,
89:
77:
794:The vast majority of nosebleeds occur in the front
309:. In more severe cases, blood may come out of both
83:
2005:"Emergency Department care of childhood epistaxis"
1265:Ferri's Clinical Advisor 2014 E-Book: 5 Books in 1
802:. This area is richly endowed with blood vessels (
1392:Morgan, Daniel J.; Kellerman, Rick (March 2014).
991:This method involves applying a chemical such as
791:less able to constrict and control the bleeding.
517:naturally occurring in some fruits and vegetables
3880:
2475:
2314:(2nd ed.). Berlin: Springer. p. 3968.
2176:
502:used particularly in wines, dried fruits, etc. )
352:while posterior bleeds generally occur from the
2287:. New York: McGraw-Hill Medical. p. 1182.
1391:
2485:Cinema of the Psychic Realm: A Critical Survey
1975:
313:. Rarely, bleeding may be so significant that
3267:
2774:
2461:""Stranger Things" and the Psychic Nosebleed"
2481:
1809:Yueng-Hsiang Chu & Jih-Chin Lee (2009).
1628:
1579:: CS1 maint: multiple names: authors list (
1553:Wackym, James B. Snow,... P. Ashley (2009).
1299:
2458:
2369:
2280:
2179:JAMA Otolaryngology–Head & Neck Surgery
2158:MedlinePlus Medical Encyclopedia: Nosebleed
2115:
2113:
1969:
1671:
1631:Emergency Medicine Clinics of North America
1387:
1385:
1345:
3274:
3260:
2781:
2767:
1674:Vaughan and Asbury's General Ophthalmology
1383:
1381:
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1375:
1373:
1371:
1369:
1367:
1365:
1341:
1339:
1337:
1335:
1333:
1331:
360:. The diagnosis is by direct observation.
301:can flow down into the stomach, and cause
240:Pressure over the lower half of the nose,
45:
2352:
2308:al.], A.Y. Elzouki ... [et (2011-10-29).
1548:
1546:
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1524:
1494:
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1488:
1443:
1441:
1439:
1437:
1409:
1295:
1293:
1291:
1289:
1287:
1285:
1268:. Elsevier Health Sciences. p. 399.
1257:
1255:
1253:
1251:
1249:
1247:
1245:
986:
419:(such as in centrally heated buildings),
2307:
2110:
2068:The Journal of Laryngology & Otology
1676:. McGraw Hill Professional. p. 92.
1398:Primary Care: Clinics in Office Practice
1156:The oral history of the Native American
772:
390:
40:Epistaxis, bloody nose, nasal hemorrhage
3528:
2508:
1850:
1848:
1846:
1505:Cochrane Database of Systematic Reviews
1362:
1328:
1076:, and pressure necrosis. In rare cases
3904:Symptoms and signs: Respiratory system
3881:
2402:
2153:
2151:
1600:(3rd ed.). Boston: Butterworths.
1593:
1552:
1541:
1485:
1434:
1282:
1242:
1129:
3255:
2762:
2060:
2058:
2056:
2054:
1869:American Academy of Family Physicians
1728:
1726:
1724:
1722:
1261:
1011:may be used to neutralize any excess
751:Hereditary hemorrhagic telangiectasia
2122:British Journal of Hospital Medicine
1843:
1451:Otolaryngology–Head and Neck Surgery
843:
2424:
2403:Morgan, Joyce (February 10, 2007).
2148:
1134:In the visual language of Japanese
729:functional endoscopic sinus surgery
457:idiopathic thrombocytopenic purpura
453:thrombotic thrombocytopenic purpura
13:
2051:
1735:Pediatric Clinics of North America
1719:
1109:
798:(front) part of the nose from the
768:
363:Prevention may include the use of
157:Less than 10 and over 50 years old
14:
3920:
2594:
2511:American Indian Myths and Legends
2405:"Superheroes for a complex world"
1149:In American and Canadian usage, "
943:) should seek medical attention.
902:, which helps by promoting blood
3628:platelet storage pool deficiency
3580:Heparin-induced thrombocytopenia
2601:
1916:10.1097/00005537-199907000-00019
1789:Advanced Neurosurgery Associates
1214:, "to bleed from the nose" from
1022:
974:
965:
956:
847:
806:). This region is also known as
528:Granulomatosis with polyangiitis
67:
2560:
2541:
2517:
2502:
2328:
2311:Textbook of clinical pediatrics
2301:
2274:
2248:
2205:
2170:
1996:
1947:
1938:
1895:
1816:New England Journal of Medicine
1802:
1777:
1690:
1665:
3347:Activated protein C resistance
2459:Tracey, Liz (30 August 2016).
2167:service. Retrieved 2010-03-15.
1984:(7): 522, 528–30, 532 passim.
1622:
1587:
1517:10.1002/14651858.CD004328.pub3
321:and out of the eye, producing
1:
2525:"Finnish idioms and proverbs"
1235:
948:Clip used to stop a nosebleed
839:
498:(sulphur dioxide) E220 (as a
3441:Trousseau sign of malignancy
2162:National Library of Medicine
1192:
893:
533:Systemic lupus erythematosus
421:respiratory tract infections
7:
3761:Nonthrombocytopenic purpura
3337:Antithrombin III deficiency
2568:"Doen alsof je neus bloedt"
2482:Meehan, Paul (2009-10-21).
2432:"Anime Physics: Nosebleeds"
2281:Bissonnette, Bruno (2010).
2134:10.12968/hmed.2014.75.3.143
2021:10.1136/emermed-2015-205528
753:(Osler–Weber–Rendu disease)
692:nasopharyngeal angiofibroma
676:Septal fracture/perforation
606:Nasopharyngeal angiofibroma
10:
3925:
3716:Congenital afibrinogenemia
3620:Glanzmann's thrombasthenia
2548:OMG! Nosebleed! Say what?!
2488:. McFarland. p. 193.
2220:(11): 1157–65, quiz 1166.
1672:Riordan-Eva, Paul (2000).
1225:
1216:
1207:
1104:interventional radiologist
1084:
21:Nosebleed (disambiguation)
18:
3832:Gastrointestinal bleeding
3771:
3728:
3649:
3634:Hermansky–Pudlak syndrome
3593:
3535:
3521:
3449:
3411:
3403:Antiphospholipid syndrome
3384:Essential thrombocythemia
3324:
3317:
3294:
3085:Precordial catch syndrome
3067:
3003:
2985:Cheyne–Stokes respiration
2967:
2909:
2900:
2800:
2707:
2618:
2410:The Sydney Morning Herald
2226:10.1007/s00106-008-1838-3
2191:10.1001/jamaoto.2013.5220
2080:10.1017/S0022215117002055
1861:American Family Physician
1857:"Management of Epistaxis"
1747:10.1016/j.pcl.2018.02.007
1643:10.1016/j.emc.2018.09.005
1411:10.1016/j.pop.2013.10.007
1302:American Family Physician
271:
267:60% at some point in time
263:
251:
236:
225:
205:
195:
161:
153:
143:
131:
58:
53:
44:
36:
31:
3802:Subconjunctival bleeding
3608:Bernard–Soulier syndrome
3571:Upshaw–Schulman syndrome
3545:Thrombocytopenic purpura
3374:Sticky platelet syndrome
2557:Retrieved 28 August 2013
1463:10.1177/0194599819889955
1120:
688:Nasopharyngeal carcinoma
647:(such as fingers during
601:Nasopharyngeal carcinoma
591:Adenoid cystic carcinoma
463:Von Willebrand's disease
386:
3792:Intracranial hemorrhage
3168:Charcot–Leyden crystals
1262:Ferri, Fred F. (2013).
586:Squamous cell carcinoma
346:inhaled corticosteroids
212:Bleeding from the lungs
3706:Factor XIII deficiency
3686:Hypoprothrombinemia/II
3681:von Willebrand disease
3639:Gray platelet syndrome
2885:Whispered pectoriloquy
1829:10.1056/NEJMicm0807268
1811:"Unilateral Epistaxis"
1050:carboxymethylcellulose
987:Chemical Cauterization
778:
625:Anatomical deformities
408:
207:Differential diagnosis
149:Bleeding from the nose
16:Bleeding from the nose
3701:Factor XII deficiency
3691:Factor VII deficiency
3509:Renal vein thrombosis
2354:10.15562/bmj.v6i1.374
776:
764:of the carotid artery
483:Chronic liver disease
394:
354:sphenopalatine artery
3457:Deep vein thrombosis
3352:Protein S deficiency
3342:Protein C deficiency
3163:Curschmann's spirals
3011:Respiratory distress
2850:Pleural friction rub
2529:saaressa.blogspot.fr
2341:Bali Medical Journal
2284:Pediatric Anesthesia
1707:. 2011. p. 1922
1223:, "above, over" and
1078:toxic shock syndrome
922:medications such as
828:). Examples include
804:Kiesselbach's plexus
704:(tending to dry the
565:drugs (particularly
350:Kiesselbach's plexus
289:, is an instance of
19:For other uses, see
3909:Otorhinolaryngology
3696:Factor X deficiency
3585:May–Hegglin anomaly
3362:Prothrombin G20210A
1130:Society and culture
344:, dry weather, and
334:high blood pressure
181:high blood pressure
138:Otorhinolaryngology
3822:Pulmonary hematoma
3729:Signs and symptoms
3504:Pulmonary embolism
3309:Bleeding diathesis
3204:pulmonary embolism
3176:chronic bronchitis
3016:Respiratory arrest
2995:Ataxic respiration
2990:Kussmaul breathing
2980:Biot's respiration
2975:Agonal respiration
2871:Elicited findings
2815:Respiratory sounds
2794:respiratory system
2790:Signs and symptoms
2708:External resources
2553:2013-10-20 at the
2437:Anime News Network
1883:on August 29, 2008
1048:catheter, made of
859:. You can help by
779:
510:food preservatives
409:
342:seasonal allergies
315:low blood pressure
216:esophageal varices
201:Direct observation
189:seasonal allergies
167:Trauma, excessive
3876:
3875:
3872:
3871:
3724:
3723:
3711:Dysfibrinogenemia
3595:Platelet function
3517:
3516:
3396:Purpura fulminans
3249:
3248:
3063:
3062:
2756:
2755:
2267:978-0-19-856782-0
2074:(12): 1065–1092.
1978:Ear Nose Throat J
1683:978-0-07-137831-4
1275:978-0-323-08431-4
1151:nosebleed section
1015:via formation of
932:allergic rhinitis
877:
876:
812:Woodruff's plexus
539:Medications/Drugs
500:food preservative
431:or environmental
425:chronic sinusitis
417:relative humidity
358:Woodruff's plexus
319:nasolacrimal duct
279:
278:
197:Diagnostic method
26:Medical condition
3916:
3537:Thrombocytopenia
3533:
3532:
3526:
3525:
3482:Lowenberg's sign
3332:Clotting factors
3322:
3321:
3276:
3269:
3262:
3253:
3252:
2934:Hyperventilation
2907:
2906:
2792:relating to the
2783:
2776:
2769:
2760:
2759:
2616:
2615:
2611:
2606:
2605:
2604:
2588:
2587:
2585:
2583:
2574:. Archived from
2564:
2558:
2545:
2539:
2538:
2536:
2535:
2521:
2515:
2514:
2506:
2500:
2499:
2479:
2473:
2472:
2470:
2468:
2456:
2450:
2449:
2447:
2445:
2428:
2422:
2421:
2419:
2417:
2400:
2394:
2393:
2391:
2389:
2373:
2367:
2366:
2356:
2332:
2326:
2325:
2305:
2299:
2298:
2278:
2272:
2271:
2252:
2246:
2245:
2209:
2203:
2202:
2174:
2168:
2155:
2146:
2145:
2117:
2108:
2107:
2062:
2049:
2048:
2000:
1994:
1993:
1973:
1967:
1966:
1964:
1962:
1951:
1945:
1942:
1936:
1935:
1910:(7): 1111–1115.
1899:
1893:
1892:
1890:
1888:
1879:. Archived from
1852:
1841:
1840:
1806:
1800:
1799:
1797:
1796:
1781:
1775:
1774:
1730:
1717:
1716:
1714:
1712:
1702:
1694:
1688:
1687:
1669:
1663:
1662:
1626:
1620:
1619:
1591:
1585:
1584:
1578:
1570:
1550:
1539:
1538:
1528:
1511:(12): CD004328.
1496:
1483:
1482:
1445:
1432:
1431:
1413:
1389:
1360:
1359:
1343:
1326:
1325:
1297:
1280:
1279:
1259:
1228:
1227:
1219:
1218:
1210:
1209:
1165:Finnish language
1070:septal hematomas
978:
969:
960:
920:Vasoconstrictive
872:
869:
851:
844:
830:blood coughed up
706:olfactory mucosa
654:Digital trauma (
449:Thrombocytopenia
407:in November 2006
379:is recommended.
285:, also known as
120:
116:
111:
110:
107:
106:
103:
100:
97:
94:
91:
88:
85:
82:
79:
76:
73:
49:
29:
28:
3924:
3923:
3919:
3918:
3917:
3915:
3914:
3913:
3879:
3878:
3877:
3868:
3817:Hemopericardium
3767:
3720:
3651:Clotting factor
3645:
3589:
3513:
3462:Bancroft's sign
3445:
3436:Virchow's triad
3407:
3357:Factor V Leiden
3313:
3290:
3280:
3250:
3245:
3223:pulmonary edema
3215:Westermark sign
3132:Post-nasal drip
3127:Silhouette sign
3059:
3050:Mouth breathing
2999:
2963:
2939:Hypoventilation
2896:
2796:
2787:
2757:
2752:
2751:
2703:
2702:
2627:
2609:Medicine portal
2607:
2602:
2600:
2597:
2592:
2591:
2581:
2579:
2566:
2565:
2561:
2555:Wayback Machine
2546:
2542:
2533:
2531:
2523:
2522:
2518:
2507:
2503:
2496:
2480:
2476:
2466:
2464:
2457:
2453:
2443:
2441:
2430:
2429:
2425:
2415:
2413:
2401:
2397:
2387:
2385:
2375:
2374:
2370:
2333:
2329:
2322:
2306:
2302:
2295:
2279:
2275:
2268:
2254:
2253:
2249:
2210:
2206:
2185:(12): 1279–84.
2175:
2171:
2156:
2149:
2118:
2111:
2063:
2052:
2001:
1997:
1974:
1970:
1960:
1958:
1953:
1952:
1948:
1943:
1939:
1900:
1896:
1886:
1884:
1853:
1844:
1807:
1803:
1794:
1792:
1783:
1782:
1778:
1731:
1720:
1710:
1708:
1700:
1696:
1695:
1691:
1684:
1670:
1666:
1627:
1623:
1608:
1592:
1588:
1572:
1571:
1567:
1551:
1542:
1497:
1486:
1446:
1435:
1390:
1363:
1344:
1329:
1298:
1283:
1276:
1260:
1243:
1238:
1195:
1144:Western fiction
1132:
1123:
1115:Tranexamic acid
1112:
1110:Tranexamic acid
1087:
1025:
1017:silver chloride
989:
984:
983:
982:
979:
970:
961:
950:
949:
914:; not the bony
900:direct pressure
896:
881:petroleum jelly
873:
867:
864:
857:needs expansion
842:
771:
769:Pathophysiology
703:
545:Anticoagulation
389:
373:Tranexamic acid
365:petroleum jelly
258:Tranexamic acid
230:Petroleum jelly
127:
118:
114:
70:
66:
27:
24:
17:
12:
11:
5:
3922:
3912:
3911:
3906:
3901:
3899:Nose disorders
3896:
3891:
3874:
3873:
3870:
3869:
3867:
3866:
3865:
3864:
3856:
3855:
3854:
3849:
3844:
3842:Hemoperitoneum
3839:
3834:
3826:
3825:
3824:
3819:
3814:
3806:
3805:
3804:
3799:
3794:
3789:
3784:
3775:
3773:
3769:
3768:
3766:
3765:
3764:
3763:
3753:
3748:
3743:
3738:
3732:
3730:
3726:
3725:
3722:
3721:
3719:
3718:
3713:
3708:
3703:
3698:
3693:
3688:
3683:
3678:
3677:
3676:
3671:
3666:
3655:
3653:
3647:
3646:
3644:
3643:
3642:
3641:
3636:
3624:
3623:
3622:
3612:
3611:
3610:
3599:
3597:
3591:
3590:
3588:
3587:
3582:
3576:
3575:
3574:
3573:
3568:
3558:
3557:
3556:
3554:Evans syndrome
3541:
3539:
3530:
3523:
3519:
3518:
3515:
3514:
3512:
3511:
3506:
3501:
3500:
3499:
3494:
3489:
3487:Peabody's sign
3484:
3479:
3474:
3469:
3464:
3453:
3451:
3447:
3446:
3444:
3443:
3438:
3433:
3428:
3423:
3417:
3415:
3409:
3408:
3406:
3405:
3400:
3399:
3398:
3388:
3387:
3386:
3381:
3379:Thrombocytosis
3376:
3366:
3365:
3364:
3359:
3354:
3349:
3344:
3339:
3328:
3326:
3319:
3315:
3314:
3312:
3311:
3306:
3301:
3295:
3292:
3291:
3279:
3278:
3271:
3264:
3256:
3247:
3246:
3244:
3243:
3238:
3233:
3232:
3231:
3219:
3218:
3217:
3212:
3200:
3199:
3198:
3186:
3185:
3184:
3172:
3171:
3170:
3165:
3153:
3152:
3151:
3139:
3134:
3129:
3124:
3119:
3114:
3109:
3104:
3099:
3094:
3093:
3092:
3087:
3082:
3071:
3069:
3065:
3064:
3061:
3060:
3058:
3057:
3052:
3047:
3045:Breath holding
3042:
3037:
3032:
3027:
3018:
3013:
3007:
3005:
3001:
3000:
2998:
2997:
2992:
2987:
2982:
2977:
2971:
2969:
2965:
2964:
2962:
2961:
2956:
2951:
2946:
2941:
2936:
2931:
2926:
2925:
2924:
2913:
2911:
2904:
2898:
2897:
2895:
2894:
2893:
2892:
2887:
2882:
2877:
2869:
2868:
2867:
2862:
2857:
2852:
2847:
2842:
2837:
2832:
2827:
2822:
2812:
2806:
2804:
2798:
2797:
2786:
2785:
2778:
2771:
2763:
2754:
2753:
2750:
2749:
2738:
2724:
2712:
2711:
2709:
2705:
2704:
2701:
2700:
2689:
2678:
2663:
2648:
2628:
2623:
2622:
2620:
2619:Classification
2613:
2612:
2596:
2595:External links
2593:
2590:
2589:
2578:on 8 June 2020
2559:
2540:
2516:
2501:
2494:
2474:
2451:
2440:. 17 July 2010
2423:
2395:
2368:
2327:
2320:
2300:
2293:
2273:
2266:
2247:
2204:
2169:
2147:
2109:
2050:
2015:(8): 543–548.
1995:
1968:
1957:. 25 July 2023
1946:
1937:
1894:
1842:
1801:
1776:
1741:(3): 607–621.
1718:
1689:
1682:
1664:
1621:
1607:978-0409900774
1606:
1586:
1565:
1540:
1484:
1433:
1361:
1327:
1308:(2): 305–311.
1281:
1274:
1240:
1239:
1237:
1234:
1232:, "to drip ".
1194:
1191:
1187:Dutch language
1131:
1128:
1122:
1119:
1111:
1108:
1096:carotid artery
1092:sphenopalatine
1086:
1083:
1058:Foley catheter
1024:
1021:
1013:silver nitrate
1007:is deposited,
1005:silver nitrate
993:silver nitrate
988:
985:
981:
980:
973:
971:
964:
962:
955:
952:
951:
947:
946:
945:
895:
892:
875:
874:
854:
852:
841:
838:
770:
767:
766:
765:
759:
754:
742:
741:
738:
732:
715:
709:
701:
695:
677:
674:
668:
659:
652:
645:Foreign bodies
642:
639:nasal fracture
632:
616:
615:
608:
603:
598:
593:
588:
577:
576:
570:
560:
536:
535:
530:
519:
518:
512:
503:
496:Sulfur dioxide
487:
486:
480:
475:
470:
465:
460:
388:
385:
330:blood thinners
277:
276:
273:
269:
268:
265:
261:
260:
255:
249:
248:
238:
234:
233:
227:
223:
222:
220:vomiting blood
209:
203:
202:
199:
193:
192:
177:blood thinners
165:
159:
158:
155:
151:
150:
147:
141:
140:
135:
129:
128:
126:
125:
62:
60:
56:
55:
51:
50:
42:
41:
38:
34:
33:
25:
15:
9:
6:
4:
3:
2:
3921:
3910:
3907:
3905:
3902:
3900:
3897:
3895:
3892:
3890:
3887:
3886:
3884:
3863:
3860:
3859:
3857:
3853:
3852:Hematosalpinx
3850:
3848:
3845:
3843:
3840:
3838:
3835:
3833:
3830:
3829:
3827:
3823:
3820:
3818:
3815:
3813:
3810:
3809:
3807:
3803:
3800:
3798:
3795:
3793:
3790:
3788:
3785:
3783:
3780:
3779:
3777:
3776:
3774:
3770:
3762:
3759:
3758:
3757:
3754:
3752:
3749:
3747:
3744:
3742:
3739:
3737:
3734:
3733:
3731:
3727:
3717:
3714:
3712:
3709:
3707:
3704:
3702:
3699:
3697:
3694:
3692:
3689:
3687:
3684:
3682:
3679:
3675:
3672:
3670:
3667:
3665:
3662:
3661:
3660:
3657:
3656:
3654:
3652:
3648:
3640:
3637:
3635:
3632:
3631:
3630:
3629:
3625:
3621:
3618:
3617:
3616:
3613:
3609:
3606:
3605:
3604:
3601:
3600:
3598:
3596:
3592:
3586:
3583:
3581:
3578:
3577:
3572:
3569:
3567:
3564:
3563:
3562:
3559:
3555:
3552:
3551:
3550:
3546:
3543:
3542:
3540:
3538:
3534:
3531:
3527:
3524:
3520:
3510:
3507:
3505:
3502:
3498:
3495:
3493:
3490:
3488:
3485:
3483:
3480:
3478:
3477:Louvel's sign
3475:
3473:
3472:Lisker's sign
3470:
3468:
3465:
3463:
3460:
3459:
3458:
3455:
3454:
3452:
3448:
3442:
3439:
3437:
3434:
3432:
3429:
3427:
3424:
3422:
3421:Thrombophilia
3419:
3418:
3416:
3414:
3410:
3404:
3401:
3397:
3394:
3393:
3392:
3389:
3385:
3382:
3380:
3377:
3375:
3372:
3371:
3370:
3367:
3363:
3360:
3358:
3355:
3353:
3350:
3348:
3345:
3343:
3340:
3338:
3335:
3334:
3333:
3330:
3329:
3327:
3323:
3320:
3316:
3310:
3307:
3305:
3302:
3300:
3297:
3296:
3293:
3289:
3285:
3282:Disorders of
3277:
3272:
3270:
3265:
3263:
3258:
3257:
3254:
3242:
3241:Golden S sign
3239:
3237:
3236:Hamman's sign
3234:
3230:
3227:
3226:
3225:
3224:
3220:
3216:
3213:
3211:
3208:
3207:
3206:
3205:
3201:
3197:
3194:
3193:
3192:
3191:
3187:
3183:
3180:
3179:
3178:
3177:
3173:
3169:
3166:
3164:
3161:
3160:
3159:
3158:
3154:
3150:
3149:Hoover's sign
3147:
3146:
3145:
3144:
3140:
3138:
3135:
3133:
3130:
3128:
3125:
3123:
3120:
3118:
3115:
3113:
3110:
3108:
3105:
3103:
3100:
3098:
3097:Nail clubbing
3095:
3091:
3088:
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2463:. JSTOR Daily
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1180:job interview
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1038:
1034:
1029:
1023:Nasal packing
1020:
1019:precipitate.
1018:
1014:
1010:
1006:
1002:
998:
994:
977:
972:
968:
963:
959:
954:
953:
944:
942:
941:oxymetazoline
937:
936:oxymetazoline
933:
929:
928:phenylephrine
925:
924:oxymetazoline
921:
917:
913:
909:
905:
901:
891:
888:
886:
883:to the nasal
882:
871:
868:February 2023
862:
858:
855:This section
853:
850:
846:
845:
837:
835:
831:
827:
823:
822:
815:
813:
809:
808:Little's area
805:
801:
797:
792:
789:
788:Anticoagulant
784:
775:
763:
760:
758:
755:
752:
749:
748:
747:
746:
739:
736:
733:
730:
726:
723:
719:
716:
713:
710:
707:
699:
698:Nasal cannula
696:
693:
689:
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682:
678:
675:
672:
669:
666:
663:
660:
657:
653:
650:
646:
643:
640:
636:
633:
631:septal spurs)
630:
626:
623:
622:
621:
620:
613:
609:
607:
604:
602:
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446:
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434:
430:
426:
422:
418:
414:
406:
402:
398:
395:Two children
393:
384:
380:
378:
374:
371:may be used.
370:
369:nasal packing
366:
361:
359:
355:
351:
347:
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335:
331:
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324:
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242:nasal packing
239:
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217:
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210:
208:
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194:
191:, dry weather
190:
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109:
64:
63:
61:
59:Pronunciation
57:
52:
48:
43:
39:
35:
30:
22:
3862:Hemarthrosis
3781:
3626:
3614:
3602:
3492:Pratt's sign
3304:coagulopathy
3229:Kerley lines
3221:
3210:Hampton hump
3202:
3188:
3174:
3155:
3141:
2880:Pectoriloquy
2865:Death rattle
2860:Bronchophony
2802:Auscultation
2740:
2726:
2715:
2691:
2680:
2665:
2650:
2631:
2580:. Retrieved
2576:the original
2571:
2562:
2543:
2532:. Retrieved
2528:
2519:
2510:
2504:
2484:
2477:
2465:. Retrieved
2454:
2442:. Retrieved
2435:
2426:
2414:. Retrieved
2408:
2398:
2386:. Retrieved
2380:
2371:
2347:(1): 31–33.
2344:
2340:
2330:
2310:
2303:
2283:
2276:
2256:
2250:
2217:
2213:
2207:
2182:
2178:
2172:
2165:Medline Plus
2128:(3): 143–7.
2125:
2121:
2071:
2067:
2012:
2008:
1998:
1981:
1977:
1971:
1959:. Retrieved
1949:
1940:
1907:
1904:Laryngoscope
1903:
1897:
1885:. Retrieved
1881:the original
1864:
1860:
1820:
1814:
1804:
1793:. Retrieved
1791:. 2020-11-19
1788:
1779:
1738:
1734:
1709:. Retrieved
1704:
1692:
1673:
1667:
1637:(1): 29–39.
1634:
1630:
1624:
1596:
1589:
1555:
1508:
1504:
1454:
1450:
1404:(1): 63–73.
1401:
1397:
1347:
1305:
1301:
1264:
1229:
1220:
1211:
1198:
1196:
1184:
1169:
1162:
1155:
1148:
1133:
1124:
1113:
1100:embolization
1088:
1041:
1030:
1026:
990:
916:nasal bridge
897:
889:
878:
865:
861:adding to it
856:
832:through the
825:
819:
816:
800:nasal septum
793:
780:
744:
743:
721:
712:Nasal sprays
684:
656:nose picking
649:nose-picking
635:Blunt trauma
628:
618:
617:
579:
578:
573:Nasal sprays
538:
537:
522:Inflammatory
521:
520:
489:
488:
443:Coagulopathy
442:
441:
437:
413:nose picking
410:
381:
362:
327:
323:bloody tears
286:
282:
280:
169:nose picking
163:Risk factors
3615:aggregation
3497:Rose's sign
3467:Homans sign
3299:Coagulation
3190:sarcoidosis
3080:In children
2922:Prematurity
2810:Stethoscope
2717:MedlinePlus
2382:Metroactive
2009:Emerg Med J
1887:January 31,
1871:: 305–311.
1457:(1): 8–25.
1394:"Epistaxis"
1176:examination
926:(Afrin) or
737:infestation
725:septoplasty
679:Intranasal
563:Insufflated
515:Salicylates
232:in the nose
154:Usual onset
37:Other names
3883:Categories
3847:Hematocele
3812:Hemothorax
3787:Hemoptysis
3659:Hemophilia
3431:Thrombosis
3196:Kveim test
3182:Reid index
3117:Hemoptysis
3075:Chest pain
3035:Aerophagia
2875:Percussion
2742:Patient UK
2693:DiseasesDB
2534:2017-12-19
2467:6 November
1823:(9): e14.
1795:2020-12-14
1348:StatPearls
1236:References
840:Prevention
781:The nasal
671:Nasal bone
665:barotrauma
662:Middle ear
612:meningioma
580:Neoplastic
468:Hemophilia
338:alcoholism
253:Medication
226:Prevention
185:alcoholism
173:infections
171:, certain
65:Epistaxis
3894:First aid
3837:Hemobilia
3782:Epistaxis
3369:Platelets
3122:Epistaxis
3030:Trepopnea
3025:Platypnea
3021:Orthopnea
2959:Bradypnea
2949:Tachypnea
2944:Hyperpnea
2902:Breathing
2747:Nosebleed
2733:emerg/806
2728:eMedicine
2363:2302-2914
2088:0022-2151
2029:1472-0205
1755:0031-3955
1659:242676103
1575:cite book
1479:210072386
1420:0095-4543
1314:0002-838X
1199:epistaxis
1197:The word
1193:Etymology
1074:sinusitis
1066:abscesses
1001:lidocaine
912:nasal ala
894:Treatment
826:epistaxis
619:Traumatic
506:Sulphites
433:irritants
377:endoscopy
293:from the
287:epistaxis
283:nosebleed
264:Frequency
246:endoscopy
237:Treatment
133:Specialty
32:Nosebleed
3889:Bleeding
3828:abdomen
3751:Petechia
3746:Hematoma
3736:Bleeding
3603:adhesion
3529:By cause
3522:Bleeding
3426:Thrombus
3325:By cause
3318:Clotting
3288:clotting
3284:bleeding
3102:Cyanosis
3090:Pleurisy
3040:Asphyxia
2954:Hypopnea
2890:Egophony
2855:Fremitus
2830:Crackles
2572:OnzeTaal
2551:Archived
2444:5 August
2416:5 August
2388:5 August
2242:30534218
2234:18936903
2199:24136624
2142:24621629
2104:37082577
2096:29280695
2037:27542804
1961:29 April
1932:22724992
1924:10401851
1877:15686301
1837:19710479
1771:44125103
1763:29803286
1711:13 April
1651:30454778
1616:21250251
1535:30596479
1471:31910122
1428:24439881
1356:28613768
1322:15686301
1212:epistazo
1208:ἐπιστάζω
1201:is from
1172:Filipino
1033:surgicel
997:necrosis
796:anterior
762:Aneurysm
745:Vascular
673:fracture
596:Melanoma
549:warfarin
473:Leukemia
429:rhinitis
311:nostrils
307:vomiting
291:bleeding
145:Symptoms
3797:Hyphema
3772:By site
3756:Purpura
3450:By site
3055:Snoring
2968:Pattern
2929:Dyspnea
2840:Stertor
2835:Rhonchi
2820:Stridor
2736:ent/701
2687:D004844
2045:4041588
1990:2676467
1526:6517002
1185:In the
1163:In the
1085:Surgery
1062:choanae
1054:Merocel
1045:Merocel
1037:gelfoam
757:Angioma
718:Surgery
567:cocaine
559:, etc.)
557:aspirin
553:heparin
490:Dietary
405:Hungary
3858:joint
3808:torso
3741:Bruise
3664:A/VIII
3157:asthma
3137:Hiccup
3112:Sputum
2845:Squawk
2825:Wheeze
2722:003106
2646:KA83.A
2582:8 June
2492:
2361:
2318:
2291:
2264:
2240:
2232:
2197:
2140:
2102:
2094:
2086:
2043:
2035:
2027:
1988:
1930:
1922:
1875:
1835:
1769:
1761:
1753:
1680:
1657:
1649:
1614:
1604:
1563:
1533:
1523:
1477:
1469:
1426:
1418:
1354:
1320:
1312:
1272:
1009:saline
834:airway
821:pseudo
783:mucosa
681:tumors
401:Vecsés
397:boxing
303:nausea
272:Deaths
124:
3778:head
3413:Clots
3107:Cough
3068:Other
3004:Other
2917:Apnea
2698:18327
2676:784.7
2661:R04.0
2238:S2CID
2160:U.S.
2100:S2CID
2041:S2CID
1928:S2CID
1867:(2).
1767:S2CID
1701:(PDF)
1655:S2CID
1475:S2CID
1230:stazo
1226:στάζω
1203:Greek
1178:or a
1158:Sioux
1140:anime
1136:manga
1121:Other
908:clots
904:clots
885:nares
735:Leech
387:Cause
299:Blood
3674:C/XI
3669:B/IX
3286:and
3143:COPD
2910:Rate
2682:MeSH
2671:9-CM
2642:MD20
2584:2020
2490:ISBN
2469:2016
2446:2011
2418:2011
2390:2011
2359:ISSN
2316:ISBN
2289:ISBN
2262:ISBN
2230:PMID
2195:PMID
2138:PMID
2092:PMID
2084:ISSN
2033:PMID
2025:ISSN
1986:PMID
1963:2024
1920:PMID
1889:2010
1873:PMID
1833:PMID
1759:PMID
1751:ISSN
1713:2020
1678:ISBN
1647:PMID
1612:PMID
1602:ISBN
1581:link
1561:ISBN
1531:PMID
1509:2018
1467:PMID
1424:PMID
1416:ISSN
1352:PMID
1318:PMID
1310:ISSN
1270:ISBN
1138:and
1035:and
727:and
722:e.g.
685:e.g.
629:e.g.
305:and
295:nose
275:Rare
121:-sis
119:STAK
117:-ih-
3566:TTP
3549:ITP
3391:DIC
2667:ICD
2652:ICD
2633:ICD
2349:doi
2222:doi
2214:HNO
2187:doi
2183:139
2130:doi
2076:doi
2072:131
2017:doi
1912:doi
1908:109
1825:doi
1821:361
1743:doi
1705:CDC
1639:doi
1521:PMC
1513:doi
1459:doi
1455:162
1406:doi
1221:epi
1217:ἐπί
1170:In
863:.
690:or
508:as
478:HIV
356:or
3885::
3561:TM
3547::
2745::
2731::
2720::
2696::
2685::
2674::
2659::
2656:10
2644:,
2640::
2637:11
2570:.
2527:.
2434:.
2407:.
2379:.
2357:.
2343:.
2339:.
2236:.
2228:.
2218:56
2216:.
2193:.
2181:.
2150:^
2136:.
2126:75
2124:.
2112:^
2098:.
2090:.
2082:.
2070:.
2053:^
2039:.
2031:.
2023:.
2013:34
2011:.
2007:.
1982:68
1980:.
1926:.
1918:.
1906:.
1865:71
1863:.
1859:.
1845:^
1831:.
1819:.
1813:.
1787:.
1765:.
1757:.
1749:.
1739:65
1737:.
1721:^
1703:.
1653:.
1645:.
1635:37
1633:.
1610:.
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1573:{{
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1330:^
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1306:71
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1205::
1182:.
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824:+
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297:.
281:A
244:,
218:,
214:,
187:,
183:,
179:,
175:,
115:EP
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2669:-
2654:-
2635:-
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2448:.
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