2 - nose

Question 1

what are different causes of rhinitis?

Answer 1

• non infective = can be allergic (intermittent or persistent) or non allergic (vasomotor rhinitis or polyps)
• infective = 98% viral rhinosinusitis

Question 2

what is treatment of infective rhinosinusitis?

Answer 2

analgesia & decongestants (add antibiotic if persistent)

Question 3

what is management of allergic rhinosinusitis?

Answer 3

• avoid allergen
• antihistamines
• topical steroids

Question 4

what is orbital cellulitis?

Answer 4

complication of acute sinusitis

Question 5

how do you treat nasal polyps?

Answer 5

oral then topical steroids
= if still unresolved then surgery

Question 6

what drug class is
a) pseudoephedrine?
b) ipratropium?

Answer 6

a) decongestant
b) anticholinergic

Question 7

what is hereditary haemorrhagic telangiectasia? presents

Answer 7

= autosomal dominant condition leading to telangiectasia

PRESENTS - nose bleeds, GI bleeds, haemoptysis, anaemia

Question 8

what is management of hereditary haemorrhagic telangiectasia?

Answer 8

• educate
• keep nose moistened w vaseline & normal 1st aid on nosebleeds

Question 9

what is rhinosinusitis? management?

Answer 9

= infection causing inflammation of paranasal sinuses

• get discomfort over frontal & maxillary sinuses & nasal congestion

MANAGEMENT = normal like paracetamol, saline irrigation, decongestants (if worse after 10 days then topical steroids or antibiotics like phenoxymethylpenicillin or doxy)