ENT Pathology I Flashcards
schneiderian mucosa
line nasal cavity and rhinonasal sinuses
sinonasal respiratory mucosa
- ciliated pseudostratified columnar cells
- mucin-containing goblet cells
- basal cells
green mucus
bacterial
acute rhinitis
will go away in week
may progress - pharyngitis, sinusitis, otitis media
coryza
inflammation of mucous membrane of nose
majority of acute rhintis
colds - viruses
rhinoviruses
-picornaviruses, ss-RNA, enterovirus
also adenovirus, echovirus, coronarvirus, parainfluenza, RSV
RAST testing
of allergens
allergic rhintis
hay fever
-rhinorrhea, sneezing, congestions, itching
seasonal hay fever
particular time of year
perennial hay fever
all year round
episodic hay fever
bouts at irregular intervals
hay fever
type I hypersensitivity
- IgE mediated
- Th2 response
- early - mast cells/histamine
- late - eosinophils
most common eosionphilia in US
allergies
other nations - parasites
chronic rhintis
longer than 1 months of symptoms
common with polyps or deviated septum
typical onset - after age 20
Sx 1 sneezing 2 rhinorrhea 3 nasal congestion 4 postnasal drainage
nasal polyps
with recurrent rhintis
-may cause obstruction
edematous tissue with eosinophils
maxillary sinus
can get infection through resp tract AND the mouth
sinusitis
inflammation of sinus with associated nasal mucosa often
aka rhinosinusitis
acute rhinosinusitis
< 1 month
subacute rhinosinusitis
1-3 months
chronic rhinosinusitis
> 3 months
mucocele of sinus
mucus blockage of sinus
in rhinosinusitis