Chronic sinusitis

Question 1

What is needed to verify a dx of chronic sinusitis

Answer 1

CT scan or endoscopy

Question 2

What can develop in nose as a result of chronic sinusitis

Answer 2

nasal polyps

which impede drainage and worsen sinusitis

Question 3

What is required to dx chronic sinusitis

Answer 3

2 out of 4:

• facial pain/pressure
• hyposmia/anosmia (altered smell)
• nasal drainage
• nasal obstruction

for at least 12 consecutive weeks + CT scan/endoscopy

Question 4

What is the first line treatment for chronic rhinosinusitis

2

Answer 4

nasal saline rinses
inhaled corticosteroids

seems like saline rinses preferred

Question 5

What are red flag s/s for chronic sinusitits

2

Answer 5

unilateral s/s (neoplasm)
vision changes (intracranial complications)

Question 6

What is a common comorbid condition to see with chronic rhinosinusitis

Answer 6

asthma

Question 7

What impact do steroids have on chronic sinusitis

2

Answer 7

reduce inflammation
shrink polyps

Question 8

What does inflammed nasal mucosa look like

Answer 8

red, may have excess mucus

Question 9

What relation does cystic fibrosis have in relation to chronic sinusitis

Answer 9

predisposes to recurrent sinus infections

Question 10

What is Samter’s triad

Answer 10

ASA + asthma + nasal polyps

aspirin exacerbated respiratory disease