ENT - Sinuses Flashcards Preview

Year 2 Specialty Medicine > ENT - Sinuses > Flashcards

Flashcards in ENT - Sinuses Deck (19):
1

what are the major criteria for rhinosinusitis?

- facial pain
- nasal obstruction
- hyposmia
- purulence on exam
- fever

2

acute rhinosinusitis lasts up to ____ week

4

3

subacute rhinosinusitis persists between ____ and ____ weeks

4 and 12

4

chronic rhinosinusitis last ____ weeks or more

12

5

recurrent acute rhinosinusitis is ____ episodes per year

4

6

is rhinitis allergic, non allergic, or both?

can be both

7

acute rhinitis is usually caused by what type of organism?

virus

8

what is the WBC count / fever presentation for chronic rhinosinusitis?

often not present

9

what plays a significant role in chronic / recurrent disease especially as the patient population ages?

allergic rhinitis

10

diagnosis?
- sneezing
- ocular pruritis
- CLEAR rhinorrhea
- sniffling
- allergic salute
- allergic shiners

allergic rhinitis

11

what is the biggest complaint of failed allergy control?

stuffy nose

12

what inflammatory condition can mimic rhinosinusitis and allergy?

adenoiditis / chronic adenoid infection or inflammation

13

diagnosis?
- nasal congestion
- chronic / recurrent clear to purulent rhinorrhea
- chronic cough

adenoiditis

14

what should be considered in a patient requiring at least two sets of ear tubes?

adenoiditis

15

which comes first - rhinitis or otitis?

rhinitis

16

how does inflammation in the nose affect airway responsiveness?

inflammation leads to airway hyperresponsiveness

17

what is the diagnostic testing used for sinusitis?

- CT
- labs: Ig levels, allergies

18

what meds for acute and chronic allergy control?

- nasal steroids
- oral antihistamines
- oral decongestants

19

what are the uses for topical decongestants?

- symptomatic relief of nasal congestion
- some benefit for treatment of acute sinusitis
- rhinitis medicamentosa