Infection Nasosinusiennes Flashcards

1
Q

Sinusite possible à 2 ans

A

Ethmoïdale

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2
Q

Sinusite possible à 3-4 ans

A

Ethmoïdale

Maxillaire

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3
Q

Sinusite possible à 7ans

A
  • ethmoïdale
  • maxillaire
  • frontale
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4
Q

Sinusite possible à 10-15 ans

A

Toutes

  • E
  • M
  • F
  • S
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5
Q

Critère de rhinosinusite sévère

A
  • rrhinorhee purulente
  • Fièvre >39º
  • céphalée
  • oedeme periorbitaire
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6
Q

Signes de gravité majeurs de ethmoidite aiguë

A
  • immobilité du globe oculaire
  • mydriase
  • anesthésie cornéenne
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7
Q

Indication TDM des sinus

A
  • ethmoidite au Stade suppuré
  • rhinosinusite aiguë prolongée et rebelle au traitement
  • sinusite récidivante ou chronique
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8
Q

ATB ethmoidite

A

AUgmentin 80mg/kg/j en 3 prises

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9
Q

ATB stade suppure de ethmoidite aigue

A
  • Augmentin IV forte dose (150mg/j)
    +/- genta IVL si septicémie

Si CI: ceftriaxone ou cefotaxime IVL

8-10 jours

HOSPITALISATION

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10
Q

Sinusite chronique définition

A

> 4mois

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