Question

A 28-year-old man presents with epistaxis that will not stop despite pinching the nose. The bleeding point seems to be from Kiesselbach's plexus. Which is the most appropriate next step in management?

Accepted Answer

Cauterisation of the bleeding vessel (chemical or electrical)

Answer

Nasal endoscopy under general anaesthesia

Answer

Posterior packing of the nasopharynx

Answer

Immediate surgical ligation of the sphenopalatine artery

Answer

CT angiography

Practice question

A 28-year-old man presents with epistaxis that will not stop despite pinching the nose. The bleeding point seems to be from Kiesselbach's plexus. Which is the most appropriate next step in management?