Rhinology Flashcards
what is acommon nasal histroy questins
nasal obstrucion
nasal discharge
epistaxis
facial pain
nasal deformity
anosmia
sneezing
past medical hisotry for nasal issues
astham/ asprin sensitivity
nals surgers
nasal trama
what occupation help are risk for nasal issues
woodworkers
what social issuteroy factrso should be taken into condisuder for nasal issues
cociaine use
alchol.
smoking
what are ways to examine nose
flexile endocope
nasal endocpe -for lokgn back
blood investigations for nasal polyps
rast - allergen tests
ace - raised in autimmiuen disease
esr- inflation
fbc
anca - autoimmune conditions
what other scans can be used for nose
mri
ct
skin tests
what is rhinomanometry
measures airflow and pressure in the nose
how do skin tests work
use contorl - sailien
use postive conorl - histaem
inkect small amount of particles into skin
what can be seen in ct imaging
sinuses and look for nsals polpys
where is a septal hemaoma found
witin cartilag eof septum of nose and can bulge out into nostrils
danger of septal hemaotam
can reudce blood flwo leading to necrosi of tissue and sepsis
what contidions can cause nasial po;ys
cf
allergic fungul sinitis
churg strauss sydrome - inflamtory disease o small and medim sized blood vessels
investigion for cystic firbos
sweat test
what are you testing in nasla smear
mircobiolgy
eosiphils
neurotpilsy
when should you use coronal ct san
tofind polpys
treatment for nasal polpsy
oral and nasal steroid with lower biopiality
asprin desensitization
treat allergic rhinitis and asthma
surgical treamtent for nasal po;lys
endoscopic sinus serugy
medical polpyecotmy
medical tratmenta logn temr
what to do is sinuits is acute and mild
treat with just algeisa
what to do with moderate sinusitius
offer tropical steriods and monitor effect
what to do with severe acute sinusitis
antibiotics
tropical steroids
when to refre if acutre sevre sinisuts does not have a effect
after 48 hours
diagnosi cirestse for acutre sinisutis
nasal blockage or obstuction or severe nasal discharge
with or without facial pain and reduction in smell
after what period is acutre sinsuis able to be disagoined moderate or sevre
5 days of symptoms
causes of acutre bacterial rhionositus
s. pneumoniae
h. influezna
what is bacterial treatment for acutre rhiosinuetiis
b lactalms - peniclin and cephalopsoin
macrolides - clarithromycin
what are the diagnoist cirteiar for chonc sinusitis
atleast 2 for 12 weeks consecutive
nasal bostion
faicla pain
nasal driainge
hyposmia / anosmia - change in sencre of smell
objective evidence on physical examination
way of diagnosi chronic cyantis
ct of brain
what is the treatment for sinusitus that obstucts eye
iv antiboid adn emergy draige surgyer
danger of frontal sinsu enlargemtne
they can damage brain if become too larger
diplopia
double viiosn
what is ethomidal mucoscele
benign cysts that grows in ethmoidal sinodi
treatmet for ethmoidal mucoscle
fess - functial endocopic sinual surgery
epistaxis
nose bleed
cause of node bleed
infectin
tranua
allergy
hypertion adn vasuce disease
heridatroy hemorrhagic telangiectaisa
blood dyscrasisa
trophic rhinitis
tumour
congentital
what physical exam for nose bleed
anteri rhiniocoy
endoscopic rhinosocpy
treatemt for non stop bleeding of nose
antier nas al pakc
postial nals packing
long term treatmetn forepisastic
artery ligation , at certian levles
laser coagulation
young’s procedure (closing nose for period of time then reopeing nostrels
septodermoplasty - remove prat of nose that frequency bleeds and replace it with a skin grwath
type of nositl caner that can bleed profusely
angiofirbroma
who can get angiofirboma
men who are in teens, does not effect women
how to trat angiofibroma
surger with pre surgial embolism