Acute Sinusitis Flashcards
1
Q
what is sinusitis?
A
inflammation of the mucous membranes of the paranasal sinuses
2
Q
what bacteria commonly cause acute sinusitis?
A
- streptococcus pneumoniae
- haemophilus influenzae
- rhinoviruses
3
Q
what are the risk factors for developing acute sinusitis?
A
- nasal obstruction - e.g. septal deviation or nasal polyps
- recent local infection
- swimming/diving
- smoking
4
Q
what are the features of acute sinusitis?
A
- facial pain - typically frontal pressure pain which is worse on bending forward
- nala discharge = thick and purulent
- nasal obstruction
5
Q
how is acute sinusitis managed?
A
analgesia
6
Q
when are intranasal corticosteroids used in acute sinusitis?
A
symptoms have been present for more than 10 days
7
Q
when are oral antibiotics used in acute sinusitis?
A
severe presentations
8
Q
what antibiotic is typically used in acute sinusitis?
A
phenoxymethylpenicillin
9
Q
what is ‘double-sickening’?
A
initial viral sinusitis worsens due to secondary bacterial infection
