General Examination

Examine oropharynx with the help of tongue depressor if the bleeding stops or history suggestive of posterior epistaxis. Also examine nostrils for blood clots and have suction apparatus and a bowel ready before dislodging the clots as that can lead to rebleed.

• Petechiae
• Purpura
• Hepatosplenomegaly
• Lymphadenopathy

The presence of any of these findings should prompt further investigation once the epistaxis has been adequately managed.