HISTORY
The patient is a 12-year-old female who was at softball practice when she was hit in the nose
with the softball while in the outfield. After 20 minutes, the team nurse was unable to control the
bleeding. Her father then took his daughter to the emergency department.
PROCEDURE
After being admitted and consent forms signed, the physician determined her nose is negative
for a fracture. The patient was diagnosed with epistaxis. Anterior, simple packing with gauze was
inserted into the right nostril to apply constant pressure. The patient was advised to avoid touching
or blowing her nose. The packing can be taken out slowly and gently within the next 6-8 hours. If
bleeding persists, she should return to the emergency department or contact her physician.
ICD-10-CM: _____ CPT: _____
