rhinitis and sinusitis

Question 1

if you have an adolescent male presenting with unilateral nasal obstruction worry about

Answer 1

Juvenile
Nasopharyngeal
Angiofibroma

Question 2

clear rhinorrea 
nasal congestion 
pruritis
itchy eyes
boggy/swollen turbinates

Answer 2

allergic rhinits

Question 3

mainstay treatment for allergic rhinitis

Answer 3

inhaled CS

nasonex!

Question 4

examples of ostial causes of rhinosinusitis

Answer 4

septal deviation
polyp
allergy
URTI

Question 5

criteria for ABRS

Answer 5

PODS (pain, obstruction, discharge, smell)
2 symptoms of PODS
1 must be O or D
symptoms > 7 days

Question 6

to diagnose Acute bacterial rhinosinusitis DO NOT

Answer 6

order an x ray

2/3 clear spontaneously w/out abx

Question 7

treatment of mild to moderate ARBS

Answer 7

ICS or severe give ICS+ Abx

Question 8

chronic rhinosinusitis is a disease of

Answer 8

inflammation

Question 9

how long must sx last in chronic rhinosinusitis

Answer 9

8-12 weeks

Question 10

criteria for chronic rhinosinusitis

Answer 10

C= PODS
need 2 symptoms for 8-12 weeks
objective evidence

Question 11

2 methods to assess chronic rhinosinusitis

Answer 11

• nasal endoscopy

- CT sinus

Question 12

treatment of cRS

Answer 12

• nasal saline
  Abx
  topical nasal steroid spray
  oral steroids