Flashcards in ENT - Sinuses Deck (19)
what are the major criteria for rhinosinusitis?
- facial pain
- nasal obstruction
- purulence on exam
acute rhinosinusitis lasts up to ____ week
subacute rhinosinusitis persists between ____ and ____ weeks
4 and 12
chronic rhinosinusitis last ____ weeks or more
recurrent acute rhinosinusitis is ____ episodes per year
is rhinitis allergic, non allergic, or both?
can be both
acute rhinitis is usually caused by what type of organism?
what is the WBC count / fever presentation for chronic rhinosinusitis?
often not present
what plays a significant role in chronic / recurrent disease especially as the patient population ages?
- ocular pruritis
- CLEAR rhinorrhea
- allergic salute
- allergic shiners
what is the biggest complaint of failed allergy control?
what inflammatory condition can mimic rhinosinusitis and allergy?
adenoiditis / chronic adenoid infection or inflammation
- nasal congestion
- chronic / recurrent clear to purulent rhinorrhea
- chronic cough
what should be considered in a patient requiring at least two sets of ear tubes?
which comes first - rhinitis or otitis?
how does inflammation in the nose affect airway responsiveness?
inflammation leads to airway hyperresponsiveness
what is the diagnostic testing used for sinusitis?
- labs: Ig levels, allergies
what meds for acute and chronic allergy control?
- nasal steroids
- oral antihistamines
- oral decongestants