EENT: diseases/buzzwords

Question 1

Acute Rhinosinusitis

• define
• define acute, subacute and chronic
• etiologies–mcc
• rf
• dx imaging of choice
• tx

Answer 1

*inflamm of the nasal cavity and paranasal sinuses

ACUTE: 1-4 weeks
SUBACUTE: 4-12 weeks
CHRONIC: > 12 weeks

ETIOLOGIES

• viral–>MCC is viral–>rhinovirus, influenza, parainfluenza
• bacterial–>same assoc with AOM–>strep pneumoniae MCC

RF–>MCC in setting of a viral URI

DX TOC is CT if imaging needed

TX

1. symptomatic—decongestants, analgeiscs, antihistamines,
2. ABX inds= s/s >10-14 days with worsening or s/s or earlier if severe
   - ->Augmentin 1st line
   - ->doxycycline 2nd

Question 2

etiologies of chronic sinusitis

-define it

Answer 2

***inflamm nasal cavity and paranasal sinuses for at least >12 consecutive weeks

aspergillus mc fungal cause
mucormycosis 2nd mc fungus

bacterial: s. aureus MC bacterial

Question 3

HSV keratitis

• diagnosis
• patho

Answer 3

• dendritic (branching) corneal ulceration with fluroescein staining hallmark
• trigeminal ganglion HSV

CM

• uni-ocular pain
• photophobia
• eye redness

Question 4

MCC of new, permanent vision loss in 20-74 YO

Answer 4

dm retinopathy