Epistaxis in geriatric patients

Abstract

We studied, for the first time, the age structure of Eremias strauchi strauchi (Kessler, 1878) from a sample (18 adults) of a population living in the vicinity of Iğdır (eastern Turkey) using the skeletochronological method. The maximum observed longevity was 7 years for males and 5 years for females. The age of males ranged from 4 to 7 years (mean 4.91, n = 12), while that of females ranged from 4 to 5 years (mean 4.66, n = 6). The average snout-vent length (SVL) was 61.10 mm in males and 60.82 mm in females. The differences in mean age and SVL between sexes were not statistically significant. Intersexual differences in body size were male-biased, but this state was not statistically significant. Age and SVL were positively correlated in both sexes.

Epistaxis - Etiopathological Evaluation and its Management

“…Cauterization should be one-sided in order to prevent septal perforation. [14] A study by Holzmann showed similar results, as higher rebleed rates were seen in Section: Ear, Nose & Throat cases in which only the lateral branches of the sphenopalatine artery were occluded. [15] AEA ligation to manage epistaxis is still controversial.…”

Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years

“…Hundreds of patients consult our department for epistaxis every year. Patients suffering from sudden epistaxis visit directly and are initially treated by otolaryngologists without going to a primary care doctor, whereas most patients in other countries appear to be treated in emergency departments [3,4]. Patients with epistaxis seemed to be treated more quickly by otolaryngologists in Japan.…”

“…Complete hemostasis can prove troublesome in such patients with unclarified bleeding points. Emergent hospitalized surgery might be required when patients experience arterial pulsatile bleeding [3,4]. Blood transfusions are required on rare occasions of severe blood loss or thrombopenia.…”

“…Sudden nasal bleeding is extremely uncomfortable. Approximately 60% of people are thought to experience epistaxis at some stage in life [1,2,3,4]. Outpatient therapy is usually sufficient to arrest hemorrhage in major cases, such as bleeding from Kiesselbach's plexus [1,2,3,4].…”

“…Blood transfusions are required on rare occasions of severe blood loss or thrombopenia. Both topical treatment and systemic management are always necessary in severe cases [4]. The potential for undiagnosed blood dyscrasia should always be considered as a potential pathogenesis.…”