Nose and Sinus Dz Flashcards
Anosmia
Absent smell function
Dysmosia
Distortion of smell function
Chronic Nasal Congestion
15 - 20% of population affected by it.
Caused by a number of things
Rhinitis Etiologies
Inflammation of the nasal mucosa which can be caused by virus, bacteria, allergy, irritants.
Usually VIRAL
Rhinitis Presentation
Nasal congestion
Rhinorrhea / discharge
Epistaxis
Pain
Most common cause of the common cold…
Rhinovirus
Why dont you give kids ASA?
Reye’s syndrome
N/V liver inflammation
Progressive mental changes
Up to age 18
Common cold tx
Rest, fluids
Salt water gargle
Sprays, lozenges
NSAIDS for HA, fever
Usual course for common cold?
6-10 days
Will antihistamines help with viral rhinitis?
Yes
Go for 1st gen
Most common site for sinusitis?
Maxillary
Most important element in developing sinusitis?
Osteomeatal complex that drains sinuses into nose.
3 factors in normal functioning of sinuses
Patency of osteomeatal complex
Normal mucociliary transport
normal quantity and quality of secretions
Bacteria causing acute sinusitis
Strep pneumo
H. Flu
M. Cat
Factors suggesting viral cause of sinusitis?
symptoms lasting less than 7-10 days and patient is recovering
