Is coagulation profile routinely indicated in Epistaxis?
Background: Epistaxis is the most common ENT emergency worldwide. It is also common ENT problem in Nepal. Most cases of epistaxis don’t have an easily identifiable cause. Both local and systemic processes can play a role in it. Treatment of severe epistaxis can encompass different modalities. Objective: To observe the significance of coagulation studies to find out a cause for epistaxis. Materials and Methods: A retrospective chart review of coagulation studies of 124 cases(male=85, female=39) of epistaxis patients admitted in ENT-Head and Neck Surgery ward of T.U.Teaching Hospital from January 2005 to June 2006 was performed to find out the coagulation disorder in such patients. Results: There were 124 patients with epistaxis admitted during the study period of 1 1/2 year duration with M: F ratio 2.2:1. Prothrombin Time ranged between 11-16 seconds, Bleeding Time between 2-8 minutes, Activated Partial Thrombin Time between 25-35 seconds, and International Normalized Ratio between 0.8-
