Chronic sinusitis

Question 1

Sinusitis usually follows an acute […] […] […] infection.
Pain is usually […], intense, associated with fever and bilateral nasal […] and there may be purulent […].

Chronic sinusitis is often painless, causing nasal obstruction due to mucosal hypertrophy and with a purulent discharge.

Answer 1

Sinusitis usually follows an acute upper respiratory tract infection.
Pain is usually bilateral, intense, associated with fever and bilateral nasal obstruction and there may be purulent discharge.

Chronic sinusitis is often painless, causing nasal obstruction due to mucosal hypertrophy and with a purulent discharge.

Question 2

Acute exacerbations are normally painful, classically worse on […] […]

Answer 2

Acute exacerbations are normally painful, classically worse on sitting forward

Question 3

Red flags

Answer 3

Unilateral nasal blockage
Unilateral bloody nasal rhinorrhoea