title: The problem with nose bleeds.
abstract: Epistaxis is common in the paediatric population and is usually minor and self limiting. This case illustrates an atypical presentation of epistaxis with hypovolaemic shock due to a dissecting false aneurysm of the internal carotid artery caused by an impalement injury to the oropharynx.
authors.affiliation: Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, Surrey KT2 7QB, UK. anniedai@fsmail.net
authors.forename: A
authors.initials: A
authors.lastname: Dai
authors.forename: E
authors.initials: E
authors.lastname: Jurges
mesh_terms: D017541:Aneurysm, False / Q000150:complications*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications*; D004844:Epistaxis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D009960:Oropharynx / Q000293:injuries*; D012769:Shock / Q000209:etiology; D014950:Wounds, Penetrating / Q000150:complications*