A School-Age Child Has Frequent Nosebleeds

question 9

Multiple Choice

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?

• A) Cauterize the mucosa with silver nitrate sticks.
• B) Order a topical vasoconstrictor medication.
• C) Prescribe a barrier agent such as petrolatum jelly.
• D) Refer to an otolaryngologist for further evaluation.

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