Abstract
Various authors state that from 90 to 99 per cent of all bleeding from the nose is due to a local vascular defect, and that 90 per cent of this is situated in the anterior portion of the septal cartilage in Kiesselbach's area. This area was first described by an American named Little. The vessel in question is a small branch of the internal sphenopalatine, and bleeding usually occurs at about its anastomosis with a branch of the superior coronary, or artery of the septum, where there is a little racemose group or minute plexus, superficially situated. The conditions affecting this large majority are multiple; there are local causes, such as traumas, ulcers and engorgement of all sorts, and the general causes, such as high blood pressure, altered states of the blood, as for instance the anemias and leukemias, puerpura, alteration of the coagulability, vicarious menstruation, changes in atmospheric pressure,
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