Sinus

Question 1

What is the classification of Acute, subacute, chronic and recurrent Sinusitis?

Answer 1

Acute: Up to 4 weeks. Resolution
Subacute: >4 weeks 12 weeks
Recurrent: >4 episodes/yr

Question 2

What are the Sx of Rhinitis?

Answer 2

Congestion
Sneezing
Itching
Nasal Discharge

Question 3

What are the traits of Infectious Rhinitis/Sinusitis?

Answer 3

Viral cause
Discolored nasal secretions w/ neutrophils and maybe bacteria
Purulent discharge

Question 4

What is the Appearance of a child with large adenoids?

Answer 4

Mouth breathing with elongated face

Question 5

What are the traits of Adenoiditis?

Answer 5

Chronic Adenoid infection
Nasal congestion. Clear to purulent rhinorhea
Can regress with age

Question 6

What effect does inflammation in the nose have on lower airway?

Answer 6

Increases lower airway hyperresponsiveness

Question 7

What are the Dx tests for Upper Airway/sinusitis?

Answer 7

CT Scanning
Labs: WBC normal
Ig Tests
Allergy testing

Question 8

What are the Tx trategies for sinus infection?

Answer 8

Steroids (Oral, Nasal)
Abtx with anaerobic coverage
Amoxicillin-clavulanate
Antihistamies/decongestants (Afrin)

Question 9

What is the MOA of Afrin

Answer 9

Alpha Adrenergic agonist similar to phenylephrine

Question 10

What are the advances that have improved Sinus Surgery?

Answer 10

Endoscopic Techniques
Shavers
Image guidance
Baloon tech
Implants