A 72-year-old woman attends the emergency department with a severe nose bleed. The bleeding started an hour before and is causing the patient a great deal of distress. She is not known to have any bleeding abnormalities. Previous medical history includes hypertension, angina and hypercholesterolaemia. Examination Her blood pressure is 172/103 mmHg and her pulse rate is 91/min. The oropharynx appears normal, with no evidence of blood draining in the posterior pharynx.
Inspection of the nasal cavity using a speculum and light source suggests a bleeding point from the left nostril. There are no masses seen and there is no palpable cervical lymphadenopathy. The cardiovascular and respiratory examinations are normal. Haemoglobin 2g/dl WBC 1 x 10 9 /L Platelets 209 x 10 9 /L What is the probable diagnosis? Click here for answer *This patient case is from Docplexus Editorial Team for…
