Nose Problems Flashcards

1
Q

what are the four core nasal symptoms?

A

blockage
loss of smell
discharge
facial pain

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2
Q

what are the two main groups of rhinitis?

A

infective

non infective

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3
Q

what are the two groups of non infective rhinitis?

A

allergic

non allergic

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4
Q

what causes infective rhinitis?

A

viral URTI

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5
Q

what are the two types of allergic rhinitis and what determines this?

A

intermittent or persistent

determined by the trigger

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6
Q

what is another name for intermittent allergic rhinitis?

A

hay fever

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7
Q

name two possible triggers of intermittent allergic rhinitis

A

pollen

fungal spores

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8
Q

name two possible triggers of persistent allergic rhinitis

A

house dust mites

pets

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9
Q

what is the definition of intermittent allergic rhinitis from the ARIA classification?

A

symptoms <4 days/week
OR
symptoms for <4 weeks

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10
Q

what is the definition of persistent allergic rhinitis from the ARIA classification?

A

symptoms >4 days/week
AND
>4 weeks duration

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11
Q

what are the three pillars of treatment for allergic rhinitis?

A

allergen avoidance
symptomatic therapy
immunotherapy

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12
Q

what is the step up symptomatic therapy for allergic rhinitis?

A

antihistamines
topical steroids
both together

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13
Q

what investigations can be done if there is diagnostic doubt of allergic rhinitis?

A

skin prick test

measure IgE levels in blood

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14
Q

what are the symptoms of infective rhinosinusitis?

A

facial pain
discharge
nasal blockage

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15
Q

what is the most common cause of infective rhinosinusitis?

A

a virus

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16
Q

how is infective rhinosinusitis managed?

A

analgesia

decongestants

17
Q

what should be added if infective rhinosinusitis is persistent or worsening?

A

antibiotic

18
Q

what is a common cause of nasal polyps?

A

non allergic asthma

19
Q

how are nasal polyps managed medically?

A

oral then topical nasal steroids

20
Q

what should be done if nasal polyps fail to improve?

A

surgery