This content is for members. First, create a free account to browse samples — then choose a plan to unlock everything.
Already a member? Log in here.
What this deck covers
Epistaxis in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Severe bilateral epistaxis requiring blood transfusion, Allergic rhinitis with secondary infection, Deviated nasal septum from previous trauma, Juvenile nasopharyngeal angiofibroma, Iron deficiency anemia requiring blood transfusion.
Clinical pearls from this deck
- ~90% of childhood nosebleeds arise from Kiesselbach’s plexus on the anterior septum, and nose-picking is the commonest trigger. Anterior bleeds are usually unilateral, bright red at the nostril, easily seen, and stop with pressure. A well, alert child with normal vitals and isolated anterior bleeding needs neither transfusion nor an oncology workup.
- Kiesselbach’s plexus (Little’s area) is a watershed on the anterior-inferior septum where five arteries converge (anterior + posterior ethmoidal from the ICA system; sphenopalatine + greater palatine from the maxillary; superior labial from the facial). Thin fragile mucosa, temperature/humidity extremes, and superficial vessels make it bleed easily.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
