Differential Diagnosis: Epistaxis

Shanna Hillsman, LVMT, University of Tennessee

M. Katherine Tolbert, DVM, PhD, DACVIM (SAIM), Texas A&M University

ArticleLast Updated August 20181 min readPeer Reviewed
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Following are differential diagnoses, listed in order of likeliness, for patients presented with epistaxis.

Localized

  • Nasal tumor

  • Trauma

  • Idiopathic rhinitis

  • Periapical abscess

  • Fungal rhinitis

  • Nasal foreign body

  • Oronasal fistula

  • Leishmaniasis

Systemic

  • Thrombocytopenia

  • Thrombocytopathia

  • Coagulopathy

  • Vasculitis

  • Hypertension

  • Less commonly:

    • Leishmaniasis

    • Angiostrongylus vasorum

    • Scott syndrome