Rhinitis (Rhinosinusitis) Flashcards
define allergic rhinitis
this is a type 1 hypersenstivity reaction involving IgE
presentation
blockage loss of smell discharge facial pain sneezing (allergic) itch- red line across nose crusting epistaxis
presentation 4S’s
stuffy
smell
snot
sore
secondary symptoms
dry mouth sore throat snoring halitosis loss of taste
classification of allergic rhinitis
intermittent
persistent
describe intermittent rhinitis
symptoms for less than 4 days a week or symptoms for less than 4 weeks
describe persistent rhinitis
symptoms for more than 4 days a week and more than 4 weeks duration
two types of rhinitis
- non-infective
2. infective
two types of non-infective rhinitis
allergic
non-allergic
two types of allergic rhintis
intermittent
persistent
two types of non-allergic rhinitis
vasomotor rhinitis
polyps
complications
orbital cellulitis (abscess that needs emergency referral) brain abscess from frontal sinus
diagnosis
skin prick and RAST levels (IgE)- tests allergy to cats, dogs, dust mites and grass pollen (big 4)
management of rhinitis
allergen avoidance
symptomatic therapy
antibiotics if infective
symptomatic therapy
antihistamines e.g. cetirizine topical steroids e.g. beclomethasone decongestants e.g. pseudoephedrine anticholinergics e.g. ipratropium LTR blockers e.g. montelukast analgesics
