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