Rhinitis + sinusitis Flashcards
1
Q
4 general questions to ask
A
- obs uni, bilat, or alternating?
- duration?
- seasonal or diurnal?
- associated nasal Sx?
- can see table to know what they mean
2
Q
***what are 4 warning symptoms
A
- unilateral nasa obs.
- severe epistaxis
- adol male - juvenile angiofibroma
- asian - nasopharyngeal carcinoma
3
Q
5 key questions on Hx
A
- previous surg/trauma
- systemic diseases
- meds
- drug/alc use
- preg
4
Q
what is most common cause of rhinitis
A
allergic
5
Q
2 types of alergic rhinitis
A
- seasonal - natures
2. perennial - dust and dander
6
Q
Sx if allergic
A
- nasal congetion
- clear runny
- nasal puritits
- itchy eyes
7
Q
Tx of allergic from best to worse
A
- elim. cause
- saline washes
- intra-nasal corticosteroids
- anti-histamine
- decongestant - be careful
- LTRA
8
Q
what is rhinitis medicamentosa
A
- overuse of topical decongestant
- oxymetazoline
- ## altered vasomotor tone
9
Q
what is rhinosinusitis
A
- inflammation of mucosal lining of sinuses
- acute, chronic, or recurrent acute
10
Q
3 possible etiologies of sinustis
A
- ostial obstruciton
- polyps, deviation, URTI - non-ostial obst.
- immune
- cilia dysfunction - direct extention
- from dental
11
Q
guidelines to diagnose acute sinusitis
A
at least 2 of PODS, 1 must be O or D Pain/pressure in face Obstruction Discharge Smell - can't
12
Q
what is needs for duagnosis of acute sinusitis
A
just clincial - no imaging
13
Q
Tx of acute
A
if under 7 days - nothing
if over 7 dasy - bact. - ABs if severes, steroids if not
14
Q
what is chronic sinusititis
A
IFLAMMATRY disease involving nasal mucosa and sinuses
- like asthma
15
Q
what is guidelines for diagnosis of chronic
A
CPODS Congestion/fullness Pain Obstructiokn Discharge Smell - also requires scope and CT
