[END OF ROUND] RHINOLOGY

Question 1

C/P: history of trauma, nasal tenderness on palpation, crepitus on palpation, swelling, deformed nose.

Answer 1

Nasal bone fracture

Question 2

C/P: nasal obstruction (unilateral or bilateral) external nose deformity, epistaxis, headache & sinusitis, hyposmia/anosmia

Answer 2

Septal deviation

Question 3

C/P: UNILATERAL OFFENSIVE purulent discharge, UNILATERAL nasal obstruction, child/mentally challenged adult

Answer 3

FB in nose

Question 4

C/P: UNILATERAL CLEAR WATERY nasal discharge, increases with straining/leaning forward, doesn’t harden a sheet of cloth, headache

Answer 4

CSF Rhinorrhea

Question 5

C/P: UNILATERAL nasal regurgitation following upper jaw trauma, history of teeth extraction, UNILATERAL OFFENSIVE nasal discharge

Answer 5

Oro-antral Fistula

Question 6

C/P: BILATERAL persistent nasal obstruction following blunt trauma/surgery, bilateral smooth fluctuant swelling, aspiration shows blood

Answer 6

Septal hematoma

Question 7

C/P: FAHM, BILATERAL nasal obstruction, throbbing pain, marked tenderness on touching nose, bilateral smooth fluctuant tender swelling, aspiration shows pus

Answer 7

Septal abscess

Question 8

C/P: epistaxis, crust formations, whistling sound on nasal breathing

Answer 8

Septal perforation

Question 9

C/P: BILATERAL persistent nasal obstruction, hyposmia/anosmia, sneezing, watery nasal discharge, itchy eyes.
BILATERAL, glistening, pale-greyish, smooth painless pedunculated mass arising from middle meati

Answer 9

Allergic nasal polypi

Question 10

C/P: Intermittent nasal obstruction (can turn into persistent obstruction), hyposmia/anosmia, recurrent attacks of sneezing, itching, watery nasal discharge, and itchy eyes.
swollen pale-bluish nasal mucosa, hypertrophied inferior turbinates. +ve Skin prick test

Answer 10

Allergic rhinitis

Question 11

C/P: Persistent nasal obstruction, profuse discharge, congestion, edema, hypertrophy of turbinates, NO itching, -ve skin prick test

Answer 11

Vasomotor Rhinitis

Question 12

Overuse of local VC nasal drops/ACEIs/ βB/ OCPs causes

Answer 12

Rhinitis Medicamentosa

Question 13

C/P: 13-20 years, UNILATERAL Nasal obstruction (can turn into bilateral obstruction), UNILATERAL mucoid discharge, history of chronic sinusitis, pale greyish jelly-like mass with retained mucoid/mucopurulent discharge. Can lead to gagging when lying on the back in ADVANCED cases

Answer 13

Antrochoanal polyp

Question 14

C/P: Painful small red, hot tender swelling in the vestibule, scanty purulent nasal discharge when ruptured, throbbing pain with swelling of tip of nose,
edema

Answer 14

Furuncles of nasal vestibule

Question 15

C/P: BILATERAL green-grey offensive nasal discharge, crustations, BILATERAL obstruction despite wide roomy nasal cavity, anosmia, epistaxis, small turbinates

Answer 15

Chronic atrophic rhinitis