Epistaxis
DDx
- Nasal trauma, eg, nose picking, forceful nose blowing, foreign body
 - Allergic rhinitis or viral rhinitis
 - Dry nasal mucosa
 - Deviated septum
 - Chronic sinusitis
 - Inhaled steroids
 - Cocaine use
 - Alcohol use
 - Antiplatelet drugs, eg, aspirin, clopidogrel
 - Thrombocytopenia, eg, idiopathic thrombocytopenic purpura, thrombotic thrombocytopenic purpura
 - Hemophilia
 - Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome)
 - Polycythemia vera
 - Leukemia
 - Wegener’s granulomatosis
 - Nasal tumor
 
There's more to see -- the rest of this topic is available only to subscribers.
Last updated: December 1, 2014
Citation
Zeiger, Roni F.. "Epistaxis." Diagnosaurus, 4th ed., McGraw-Hill Education, 2014. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114346/all/Epistaxis. 
Zeiger RFR. Epistaxis. Diagnosaurus. McGraw-Hill Education; 2014. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114346/all/Epistaxis. Accessed November 4, 2025.
Zeiger, R. F. (2014). Epistaxis. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114346/all/Epistaxis
Zeiger RFR. Epistaxis [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2014. [cited 2025 November 04]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114346/all/Epistaxis.
* Article titles in AMA citation format should be in sentence-case
TY  -  ELEC
T1  -  Epistaxis
ID  -  114346
A1  -  Zeiger,Roni F,
Y1  -  2014/12/01/
BT  -  Diagnosaurus
UR  -  https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114346/all/Epistaxis
PB  -  McGraw-Hill Education
ET  -  4
DB  -  Emergency Central
DP  -  Unbound Medicine
ER  -  

Diagnosaurus

