A 70 year aged patient with epistaxis,patient is hypeension with BP=200/100 mm Hg. On examination no active bleeding noted, next step of management is:
observation
Internal maxillary aery ligation
Anterior and posterior nasal pack
Anterior nasal pack
We do not need any reference to answer this paicular question as the answer is hiddeb in the question only. The question itself says that no active bleeding is seen-so no need to do anything just observe the patient and because his BP is 200/100 Hg which is quite high,give him antihypeensive drugs. Ref.Scott Brown 7/e,Vol 1,p 1065
Nose and paranasal sinuses