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Case 9: Epistaxis - ManagementImmediate management:%u2022Apply direct pressure to the nose for 10-15 minutes%u2022 Sit patient upright, leaning slightly forward%u2022Apply ice pack to nose and faceIf bleeding persists:%u2022 Examine nasal cavity to identify bleeding point%u2022Apply topical vasoconstrictor (e.g., phenylephrine)%u2022 Perform anterior nasal packing if needed%u2022Use ribbon gauze or commercial nasal tampon%u2022 Leave in place for 24-48 hoursFollow-up care:%u2022Review anticoagulation if relevant (e.g., adjust warfarin dose)%u2022Advise on nasal care: Avoid nose picking, use saline nasal spray%u2022 Consider cauterization of prominent vessels on follow-up%u2022Refer to ENT if recurrent or posterior epistaxis suspected