acute rhinosinusitis

Question 1

acute rhinosinusitis

Answer 1

definition
terminology
classification

Question 2

definition

Answer 2

adult
children
recurrent acute rhinosinusitis
duration - acute, common cold, acute post viral,

acute bacterial-> defined by at least 3 symps
fever higher than 38
local pain
discoloured mucus
high crp
worseing symps

Question 3

adult rhinosinusitis

Answer 3

-define -inflam of nose and paranasal sinuses characterised by 2 or more sysmos
-symps obstructiob / congestion/nasal blockage is one sign
facial pressure
loss of sens of smell

-endoscopic signs
nasal polyps
mucosal obstruction/edema
mucopurulent discharge from middle meatus

CT changes
mucosal changes

duration <ARS

Question 4

children rhinosinusitis

Answer 4

-same dfinition
symps -obstruction/congestion

facial pain
cough

endoscopic signs- same
ct changes -signs same

Question 5

recurrent acute rhinosinusitis

Answer 5

-can occur once or more in a defined time period
usually expressed as episodes per year - with complete resolve of symptoms between episodes
>4 episodes per yrar symptoms free interval

Question 6

duration

Answer 6

-define- increase in symps after 5 days or persistent symps after 10 days with less than 12 weeks duration

Question 7

etiology of rhinosinusitis

Answer 7

-pathogens- viral most common, bacterial, fungi
-route of transmission -droplets
-risk factors
pre existing up resp tract infections
ventilation disorders of the sinuses
foreign body in nasal cavity
rhinitis
bronchial asthma
painkillers

-drug provoked rhinitis
antihypertensives
antidepressives
hormones
abuse of nasal decongestants
cocaine abuse