Epistaxis

Long cold days slowly fade into short hot summer days. We pass the time enjoying the last few months of the school year. Before we know it time flies by quick and school is out for the summer. Summertime is always full of memories, some good and some bad. Last summer memories consist of heartbreak, laughs, work, friends, and love. I went threw it all, the begging of summer i was already over it and ready to graduate and be out of pawnee. As the days past on i found myself wishing time would stop right in its tracks and i did not want summer to come to an end. The first week of summer was the worst. My boyfriend of five months broke my heart. Of course at sixteen i thought the world was coming to an end. I just could not believed it happened, how things could just change so quickly and without warning. After a while the tears turned to laughs and i was finally starting to enjoy my summer. My days started off early Monday thru Thursday I woke up at 6:30 just to make it to summer workouts on time. After workouts me and a few others from the basketball team would go up to the gym and shoot around. Then at 12:00 i would have to be at work. I had the perfect summer job, I worked at the Pawnee bathhouse as a lif guard. Days at the bathhouse were fun and entertaining. One of my favorite times was when Caleb finally “jumped” off the high dive. He was are most loyal swimmer coming everyday we opened from the beginning. Everyone gave him a hard time about not jumping off the high dive…

Attempt to Escape “Hurry up. It’s almost 5:00” my dad yelled from the back room. Mumbling I turned the hilarious video off and started to get ready. “I’m leaving” I yelled. Strapping on my shoes I walked out the door, ready for what hoped would be an exciting Jr. High dance. And cousin, let me tell you something, boy was I wrong as ever. It started off okay, I walked down my street towards the school, and since I lived almost right next to the freeway, I heard the rushing sound of…

superior rate of GTR (79% versus 65%, P < 0.0001) as well as the lower rates of CSF leak (5% versus 7%, P < 0.01), septal perforation (0% versus 5%) and post-operative epistaxis (1% versus 4%, P < 0.0001) for the endoscopic approach compared with the sublabial approach. Rotenberg et al. (10) concluded that the two approaches had similar outcomes (GTR, hormonal abnormality resolution) but that the endoscopic approach was associated with fewer complications as well as a shorter hospital…

What are the patients problems? Dr. Alley is currently suffering from Hypertension (HBP) which is when the pressure of blood is stained against the arterial walls. Due to the fact that Dr. Alley has stopped taking his medication, this has caused long-term affliction to his heart. The doctor has also been experiencing dyspnea (difficulty breathing ). This can be a warning of a condition to his heart or lungs. Recently the doctor has also been affected by oppressive epistaxis known as a…

CC: “Nosebleed that won’t stop” HPI: A 66 year old white male, with history of Type II diabetes, gout, hypertension and coronary artery disease status post 3 stent placement most recent 2009. was transferred to UF Health, from a medical center in The Villages, Florida for ENT evaluation of persistent unilateral epistaxis of the right nostril. The three days prior to admission, the patient admitted that while taking a shower he cleared his nose and “red chunks” were seen, he also noted some…

various countries. This results in multiple different sets of prohibited drugs and regulations for drug usage. Debates run rampant about changes that should or should not be made and which medications should be banned, controlled, or allowed. At the top of this list is furosemide, a diuretic more commonly called Lasix. Exercise Induced Pulmonary Hemorrhage, often referred to as EIPH or bleeding, occurs when capillaries in a horse’s lungs burst due to a massive increase of blood pressure that…

Major complications are generally rare. Minor complications such as epistaxis, septal hematoma, injury to the nasopalatine nerve with subsequent dental numbness, scarring, septal perforation, cerebrospinal fluid leak, and persistent nasal obstruction are comparatively more prevalent. Severe epistaxis following septoplasty is rare. Counselling patients about risk of dental numbness following septoplasty is a must. Temporary dental numbness is common, and usually resolves within several weeks or…

inflammation. Adverse Effects o Severe • Churg-Strauss syndrome, vasculitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, pancreatitis, erythema nodosum, anaphylactoid reactions, angioedema, suicidal ideation, seizures, o Moderate • Pyuria, atopic dermatitis, myopia, wheezing, gastritis, conjunctivitis, elevated hepatic enzymes, eosinophilia, hepatitis, edema, thrombocytopenia, palpitations, bleeding, memory impairment, confusion, depression, hostility,…

The patient with platelet dysfunction also may present with petechiae (small capillary hemorrhage), ecchymoses (small purple, multiple superficial lesions), purpura, epistaxis, hematuria, bleeding gums, menorrhagia ( heavy menstrual blood flow) and metrorrhagia ( bleeding between period). On the other hand, a patient with coagulation problem may have delayed bleeding issues. Bleeding from minor trauma or spontaneous bleeding can be persistent. The patient may present with palpable large…

clotting cascade. Because activated thrombin can no longer be produced, the blood clotting cascade is halted and thrombi formation ceases. It is in this way that Apixaban indirectly inhibits platelet aggregation caused by thrombin formation. Due to this mechanism of action, rivaroxaban does not dissolve preexisting clots since it has no effect on fibrin or platelets. It is also important to note that the action of rivaroxaban can be reversed with the use of an antidote. Two potential antidotes,…