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A 35-year-old male presented with 5 months of right-sided epistaxis.
He had a remote history of nasal trauma, and a septoplasty 5 months prior. Since that time, he had had significant right-sided epistaxis requiring multiple episodes of nasal packing. He has no personal or family history of bleeding disorders, has normal vital signs; hematocrit (HCT) 29.1; and platelets, international normalized ratio (INR), and partial thromboplastin time (PTT) normal.
Upon arrival at our emergency department, the patient’s bleeding was eventually controlled with packing bilaterally and systemic administration of tranexamic acid.
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