A 26-year-old woman presents with recurrent spontaneous nosebleeds from the anterior nasal septum. On examination there is a visible bleeding point at...

Question

A 26-year-old woman presents with recurrent spontaneous nosebleeds from the anterior nasal septum. On examination there is a visible bleeding point at Kiesselbach's plexus. She is haemodynamically stable. What is the most appropriate initial management?

Accepted Answer

Cauterise the bleeding point with silver nitrate after topical anaesthesia

Answer

Posterior nasal packing

Answer

Immediate surgical ligation of the sphenopalatine artery

Answer

No treatment is needed for anterior epistaxis

Answer

Indwelling nasal balloon tamponade

au-amc MCQ (SBA): Anterior epistaxis

A 26-year-old woman presents with recurrent spontaneous nosebleeds from the anterior nasal septum. On examination there is a visible bleeding point at Kiesselbach's plexus. She is haemodynamically stable. What is the most appropriate initial management?