Rhinitis Flashcards

1
Q

What is rhinitis?

A

common disease involving inflammatino of nasal mucosa

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2
Q

What is rhinitis characterized by?

A

rhinorrhoea (runny nose)
sneezing
itching
nasal congestion and obstruction

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3
Q

What is the nasal congestion and obstruction usually caused by?

A

dilated blood vessels particularly in cavenous sinusoids

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4
Q

What are the types of allergic rhinitis?

A

Seasonal or perenniel

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5
Q

What is allergic rhinitis similar to?

A

allergic asthma

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6
Q

What happens in allergic rhinits?

A

IgE increased, binds to receptors on amst cells and basophils, degranulation occurs, mediators released e.g. histamine, cystLTs

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7
Q

What causes the nasal congestion/obstruction?

A

lymphocyte and eosinophils

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8
Q

What is non allergic rhinitis and what are some types?

A

doesn’t involve IgE.

Types include: -vasomotor, infection, hormonal, drug induced, NARES

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9
Q

What type of rhinitis is occupational rhinitis?

A

mixed

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10
Q

What happens to mucosal blood flow and blood vessel permeability in rhinitis?

A

increase

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11
Q

What are glucocorticoids used for and how?

A

to treat the inflammation, given topically as spray

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12
Q

What types of rhinitis are glucorticoids used in?

A

SAR, PAR and NARES and vasomotor

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13
Q

What are examples of glucorticoids given and which is given orally?

A

beclometasone, fluticasone, prednisalone (orally)

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14
Q

What muscarinic receptor is used in rhinitis?

A

ipratropium

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15
Q

Which anti-histamines are used for rhinitis and which is given as a spray (rest orally)?

A

cetiazine, azelostine (by spray)

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16
Q

What is sodium chomoglicate given for?

A

to maintain treatment of allergic rhinitis by mast cell stabilization

17
Q

Which cysLT1 receptor antagonist is used and how is it given?

A

montelukast, orally

18
Q

Who are cysLT1 receptor antagonists very useful for?

A

patients with both allergic rhinitis and allergic asthma

19
Q

Which vasoconstrictor is used ans how is it given?

A

oxymetazoline, nasally

20
Q

What do vasoconstrictors activate?

A

alpha 1 adrenoceptors

21
Q

Why are vasoconstrictors not used for more than a few days?

A

can cause rhinitis medicamentosa