HEENT 03 Sinus Disorders Flashcards
Situs inversus, chronic sinusitis, and bronchiectasis from Immotile cilia in the nose:
Kartagener’s Syndrome
____ nearly always precede sinusitis
Allergies
rhinosinusitis without clinically evident extension of inflammation outside the paranasal sinuses and nasal cavity at the time of diagnosis (e.g., no neurologic, ophthalmologic, or soft tissue involvement)
Uncomplicated Rhinosinusitis
Nasal congestion, Purulent nasal secretion, Facial ‘pressure’ pain, Headache, Maxillary toothache, Persistent cough (usually with a more severe nocturnal component), Postnasal drip
Poor response to decongestants
Sinusitis
Symptoms for 3-4 weeks (up to 8 weeks –sub-acute), Persistent URTI – anosmia, nasal congestion, cough, Fever, malaise, purulent rhinorrhea, Tenderness over infected areas, with or without headache, Postnasal drainage
Acute viral sinusitis
Symptoms – for > 4 weeks or longer (12 weeks) with abnormal findings on computed tomography or magnetic resonance imaging
Mucopurlent discharge
Fever - usually not present
Chronic sinusitis
three or more episodes of acute sinusitis per year
Recurrent sinusitis
What is the test of choice in chronic sinusitis?
CT scan
2 Drugs for Acute Viral Rhinosinusitis
NSAIDs; Acetaminophen
Antibiotics for Bacterial Sinusitis
Amoxicillin ±
Amoxicillin/Clavulanate (Augmentin)
Patients with ___ may present with few symptoms or have rhinorrhea, obstruction, and anosmia. It can be visualized on direct intranasal examination
Nasal polyps
Dust and soil; enters through the respiratory tract
Invades vascular channels; causes hemorrhagic ischemia and necrosis. Very fatal
Mucormycoses
What 2 drugs, with their forces combined make up Augmentin?
Amoxicillin and Clavulanate
