Age 70 years Symptoms - nasal bleeding in night ESR and CBC is normal Plz help me in diagnosis

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ÇXR RT APEX & UPPERZONE SHOWI NG FIBROTIC LESIONBOTH CARDIOPHRENIC ANGLES ARE BLUNT . RT HILUM IS AT SAME LEVEL AS THAT OF LEFT SUGGESTIVE IT IS PUSHED UP BY FIBROTIC LESION THESE ARE PAST TUBER CULAR EPISTAXIS IS A SEPERATE PROBLEM CT NOSE& PNS / X RAY PNS ( OM) VIEW BLOOD COAGULATION PROFILE MAY HELP TO FIND OUT CAUSE OF EPISTAXIS

Sir excellent your diagnosis But epistaxis may be cause for hypertension
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Epistaxis needs ENT examination. Bronchitis with cardiomegaly. Rule out tuberculosis.

It's a case of bronchitis with cardiomegaly.

CXRPA View hyperinflated lung fields, Cardiomegaly , Any medical H/O anti coaglation therapy, hypertensive,

CXR NAD, find out local cause of epistaxis

Scan nad Look for local cause for epistaxis

Xray shows cardiomegaly, HBP may be cause, nasal polyps, vitmn K deficiency,?

Epitaxial can be a sign of htn if bp is normal check it daily for at least a week

Lt lower zone pneumonitis with bronchiectasis?

Hypertension with cardiomegaly.copd?

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