ENT - Sinuses Flashcards

1
Q

what are the major criteria for rhinosinusitis?

A
  • facial pain
  • nasal obstruction
  • hyposmia
  • purulence on exam
  • fever
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2
Q

acute rhinosinusitis lasts up to ____ week

A

4

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3
Q

subacute rhinosinusitis persists between ____ and ____ weeks

A

4 and 12

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4
Q

chronic rhinosinusitis last ____ weeks or more

A

12

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5
Q

recurrent acute rhinosinusitis is ____ episodes per year

A

4

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6
Q

is rhinitis allergic, non allergic, or both?

A

can be both

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7
Q

acute rhinitis is usually caused by what type of organism?

A

virus

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8
Q

what is the WBC count / fever presentation for chronic rhinosinusitis?

A

often not present

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9
Q

what plays a significant role in chronic / recurrent disease especially as the patient population ages?

A

allergic rhinitis

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10
Q

diagnosis?

  • sneezing
  • ocular pruritis
  • CLEAR rhinorrhea
  • sniffling
  • allergic salute
  • allergic shiners
A

allergic rhinitis

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11
Q

what is the biggest complaint of failed allergy control?

A

stuffy nose

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12
Q

what inflammatory condition can mimic rhinosinusitis and allergy?

A

adenoiditis / chronic adenoid infection or inflammation

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13
Q

diagnosis?

  • nasal congestion
  • chronic / recurrent clear to purulent rhinorrhea
  • chronic cough
A

adenoiditis

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14
Q

what should be considered in a patient requiring at least two sets of ear tubes?

A

adenoiditis

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15
Q

which comes first - rhinitis or otitis?

A

rhinitis

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16
Q

how does inflammation in the nose affect airway responsiveness?

A

inflammation leads to airway hyperresponsiveness

17
Q

what is the diagnostic testing used for sinusitis?

A
  • CT

- labs: Ig levels, allergies

18
Q

what meds for acute and chronic allergy control?

A
  • nasal steroids
  • oral antihistamines
  • oral decongestants
19
Q

what are the uses for topical decongestants?

A
  • symptomatic relief of nasal congestion
  • some benefit for treatment of acute sinusitis
  • rhinitis medicamentosa