CECIL 426 NOSE, SINUS Flashcards
Chronic rhinitis and sinusitis persist for more than..
3 months
Recurrent acute rhinitis and sinusistis are defined by
Exacerbations that occur four or more times per year
Exacerbations last 7to 10 days per episode
Major symptoms of sinusitis
Facial pressure Facial congestion or fullness Nasal obstruction Nasal discharge Anosmia
Pain is a frequent complaint with acute sinusitis but infrequent with chronic sinusistis
Minor symptoms of sinusitis
Headache Halitosis Fatigue Dental pain Cough Ear pressure
Major signs of sinusitis
Purulence
Fever
In allergic rhinitis the mucosa reveals itself as being..
Pale and swollen inferior turbinates
Copious nasal secretions are more apparent with
Viral infections
Trismus might be caused by
Deep neck infection
Chronic nasal crusting as a primary complaint might be caused by
Sarcoid Wegener T-cell Lymphomas Syphillis TB Sjogren's syndrome
Rapid onset of sinus-related symptoms suggests
A viral upper respiratory infection
Specially if Arthralgia Myalgia Fever Chills GI Cough
Allergic rhinitis typically responds to an empirical trial of
Antihistamines
Types of Rhinitis
Gustatory Pregnancy-related Abuse of topical vasoconstrictors Illicit drug use Aging Hypersecretory mediated by the parasympathetic nervous system Perennial
Viral Rhinitis treatment
Fluid replacement Febrile component Steam Vitamin C Good nutrition Oral decongestants Mucolytics Ipratropium bromide spray
Until what amount of time of acute rhinosinusitis or acute purulent rhinitis the antibiotics have little benefit?
10 days
Best clinical predictors of the presence of acute bacterial rhinosinusitis rather than viral rhinosinusitis
Persistent symptoms for 10 or more days without evidence of clinical improvement
HIgh Fever (>39ºC)
Purulent nasal sdischarge
Facial pain for at least 3 to 4 dconsecutive days
Onset of worsening symptoms more than 5 days after the onset of an apparent viral upper respiratory tract infection
