Nasal Disease part 2

Question 1

Blockage
Loss of smell
Discharge
Facial pain

Answer 1

Stuffy
smell
snot
sore

Question 2

Examination of nose should take into account

Answer 2

Airway patency
external nose
rhinoscopy

Question 3

Classification of rhinitis

Answer 3

Infective (viral upper resp infection) [<4 days/week]

Non-infective (allergic + non-allergic) [>4 days/week]

Question 4

Nasal polyps

Answer 4

Associated with non-allergic asthma.
Treat with oral then topical steroids
No improvement do surgery

Question 5

Infective rhinitis

Answer 5

Acute Infective Rhinosinusitis
(facial pain, discharge, nasal blockage)
98% viral
Treat with analgesics and decongestants.
If worsens add broad spectrum ABs.

Question 6

Complication of acute sinusitis

Answer 6

Orbital cellulitis