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Symptoms: Nosebleed, Headache, Nausea, Vomiting Blood

Wiler, Jennifer L. MD, MBA

doi: 10.1097/01.EEM.0000312006.12938.4d
News: Quick Consult
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A 37-year-old man presents to the ED with “a bloody nose for three days.” He complains of a mild headache, nausea, and three episodes of “vomiting blood” today. He denies digital probing, recent trauma, or abdominal pain. He has never had bleeding problems in the past. He does admit to intranasal cocaine use two days prior. His heart rate is 116 beats per minute, and his blood pressure is 180/98 mm Hg.

How would you evaluate and manage this patient's nosebleed? See p. 19.

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© 2008 Lippincott Williams & Wilkins, Inc.