ENT Flashcards
What to give patients to wean off topical decongestants
intranasal/topical steroids
systemic steroids
systemic decongestants
Topical decongestants: adverse effects
rhinitis medicamentosa
acute sinusitis
Symptoms last <4 weeks
chronic sinusitis
symptoms last >12 weeks
recurrent sinusitis
3 or more sinus infections per year
Most common bacterial causes of sinusitis
streptococcus pneumoniae
haemophilus influenzae
moraxella catarrhalis
diagnostic criteria for treating acute bacterial rhinosinusitis
Severe symptoms or a high fever (39C or 102F)
purulent nasal discharge or facial pain for at least 3-4 consecutive days
acute bacterial rhinosinusitis: treatment
amoxicillin-clavulanate (Augmentin)
doxycycline if penicillin allergy