Rhinitis

Question 1

What is rhinitis?

Answer 1

Inflammation of the mucosa of the nose

Question 2

What are the types of rhinitis?

Answer 2

Allergic
Non-allergic

NB: this is like “asthma of the nose”

Question 3

What are the clinical differences between allergic and non-allergic rhinitis?

Answer 3

Question 4

Label this nasal tract.

Answer 4

Left nasal cavity
IT - Inferior turbinate
S - Septum
V - Vestibule - facial skin before you get to nasal mucosa

Question 5

How do ITs change?

Answer 5

One is always bigger than other side as they fluctuate every few hours

Question 6

Cobblestoning shown on bottom right of allergic - red dots are the points of attachment to the cartilage so you can see that surrounding mucosa is swollen

Answer 6

Question 7

What is this sign called?

Answer 7

Allergic salute - eventually causes the allergic crease sign as below

Question 8

What serum test is used to determine allergy (generally)?

Answer 8

Serum total IgE

Question 9

How is allergic rhinitis classified?

Answer 9

Mild vs mod/severe and Intermittent vs persistent

Used to be seasonal and perrenial

Question 10

What is the treatment ladder for allergic rhinitis?

Answer 10

Question 11

Which symptoms must you always ask about in allergic rhinitis?

Answer 11

Asthma