Images in clinical medicine. Unilateral epistaxis.

@article{Chu2009ImagesIC,
  title={Images in clinical medicine. Unilateral epistaxis.},
  author={Yueng-Hsiang Chu and J-C Lee},
  journal={The New England journal of medicine},
  year={2009},
  volume={361 9},
  pages={e14}
}
n engl j med 361;9 nejm.org august 27, 2009 e14 A 44-year-old man presented with a 7-day history of epistaxis on the left side. He reported that he had washed his face in a freshwater stream 7 days before the onset of symptoms. A suspected blood clot was seen in the left middle turbinate on anterior rhinoscopy, although endoscopic examination showed that the possible clot was a living leech. After lidocaine nasal spray was applied to the left nasal cavity, the leech was retrieved with an… CONTINUE READING
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