🔵 Causes and Associated Conditions : 🅰️local causes: 1️⃣ Self-induced digital trauma (nose picking) is common, particularly among children. 2️⃣ Mucosal trauma from topical nasal drugs, such as corticosteroids or antihistamines, may result in minor epistaxis . 3️⃣ Profound epistaxis may result from trauma to the nasal bones or septum. 4️⃣ Dehumidification of the nasal mucosa probably underlies the increased incidence of nosebleeds noted during the winter months. 5️⃣ Idiopathic 🅱️ Systemic causes : 1️⃣ Coagulopathies : including genetic disorders such as hemophilia and acquired coagulopathies due to liver or renal disease, use of anticoagulant medication, or hematologic cancers. 2️⃣ Hypertension may contribute to epistaxis 3️⃣ Excitement