
Ivy Ivanhoe
45 y old female
PC severe nose bleed
HPC started 3 hours ago
initially tried to lie down
squeezing the nose with
handkerchief not successful had similar episode 3-4 times in the last 2 years
PMH Road traffic accident (RTA)
in 2007 with spinal injury
hypertension (not well controlled)
sickle cell anaemia
polycystic ovaries syndrome
occasional constipation
DH ramipril
HCT (hydrochlorothiacid)
nebivolol
iron substitution
SH lives with husband and 3 children
works in call centre
smokes 2-3 / day
social drinker but not excessively
FH uncle, aunt and
grandfather – sickle cell anaemia
daughter – Down’s syndrome