A school-age child has frequent nosebleeds. Nasal visualization reveals fresh clots and excoriated nasal mucosa but no visible site of bleeding. Coagulation studies are normal. In spite of symptomatic measures, the child continues to have nosebleeds. What is the next course of action?

Question

Quizplus · Accepted Answer

The presence of frequent nosebleeds with no visible site of bleeding and normal coagulation studies suggests a possible underlying structural or vascular abnormality. Referral to an otolaryngologist for further evaluation and management is warranted. Cauterization or topical medications may provide temporary relief but do not address the underlying issue, and barrier agents such as petrolatum jelly are not indicated in this case.

A School-Age Child Has Frequent Nosebleeds