طفل عمره ٧ سنوات بعد استئصال اللوزتين بستة أيام، صار يبصق دماً أحمر ويبلع كثيراً، ونبضه ١٣٠، وشاحب. أمه تقول إن القشرة البيضاء في الحلق بدأت تسقط. ما التصرف؟

Six days after tonsillectomy, a 7-year-old is spitting bright red blood and swallowing frequently, HR 130 and pale. His mother says the white throat scabs are falling off. What is the action?

1. Go to the emergency department now for secondary haemorrhage
2. Oral antibiotics and review in a week
3. Reassure the mother and give cold ice cream at home
4. Gargle salt water and sleep on his back

Answer: A) Go to the emergency department now for secondary haemorrhage. Secondary post-tonsillectomy bleeding usually occurs at days 5–10 as scabs separate; frequent swallowing, tachycardia and pallor signal bleeding needing emergency care.