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Previous Volume 360:784-789 February 19, 2009 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 61-year-old man presents to the emergency room with left-sided epistaxis that has continued for 1 hour. He estimates having lost approximately 1/2 cup of blood and reports no history of nasal obstruction, epistaxis, trauma, bleeding diathesis, or easy bruising. He has a history of hypertension. Medications include atenolol and baby aspirin. How should this patient be evaluated and treated?

The Clinical Problem

Epistaxis is . . . [Full Text of this Article]

Anatomical Features

Causes and Associated Conditions

Strategies and Evidence

Treatment Options

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Otolaryngology — Head and Neck Surgery, Medical University of South Carolina, Charleston.

An audio version of this article is available at NEJM.org.

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