Rhinosinusitis

Question 1

Rhinosinusitis

Answer 1

Hidung tersumbat

Post nasal drip = sensasi cairan hidung mengalir ke tenggorokan

Hidung bau busuk (diri sendiri)

Nyeri wajah

Sinusitis
→ Hidung = Sinusitis rhinogen → semua sinus
→ Gigi = Sinusitis dentogen → sinus maxilaris

Question 2

Sinusitis (4)

Answer 2

Sinusitis Maksilaris
Sinusitis Frontalis
Sinusitis Etmoid
Sinusitis Sphenoid

Question 3

Dx Sinusitis Maksilaris

Answer 3

Nyeri di wajah/pipi

Question 4

PF Sinusitis Maksilaris

Answer 4

Rhinoskopi → pus/nanah di meatus media/konka media

Question 5

PP Sinusitis Maksilaris

Answer 5

Foto Waters

Wajah
Waters

Question 6

Dx Sinusitis Frontalis

Answer 6

Nyeri di dahi
Nyeri ketok glabela positif

Question 7

PP Sinusitis Frontalis

Answer 7

Foto Caldwell

Question 8

Dx Sinusitis Etmoid

Answer 8

Nyeri di pangkal hidung

Question 9

PP Sinusitis Etmoid

Answer 9

Foto Schaedel

Question 10

Dx Sinusitis Sphenoid

Answer 10

Nyeri retroorbita

Question 11

PP Sinusitis Sphenoid

Answer 11

Foto Schaedel

Question 12

PP Rhinosinusitis (3)

Answer 12

Sederhana → transluminasi

Tepat → X-ray

Gold Standard → CT-Scan Sinus Paranasal

Question 13

Tx Rhinosinusitis

Answer 13

• Tepat
  💡 Bapak Mamak Cef
  AB sistemik
  
  1. B-lactam
  2. Makrolid
  3. Cefalosporin
• Analgetik: NSAID
• Dekongestan: 💡PENO
• Mukolitik: Ambroxol, Glyceryl Glucoside (GG), Bromohexin
• Gagal pengobatan/definitif: Rujuk → Functional Endoscopy Sinus Surgery (FESS), Cuci hidung

Question 14

Klasifikasi berdasarkan onset Rhinosinusitis (4)

Answer 14

Akut
Sub Akut
Kronik
Akut Berulang

Question 15

Rhinosinusitis Akut

Answer 15

<4 minggu

Question 16

Rhinosinusitis Sub Akut

Answer 16

4-12 minggu

Question 17

Rhinosinusitis Kronik

Answer 17

> 12 minggu

Question 18

Rhinosinusitis Akut Berulang

Answer 18

≥4 episode/tahun