Rhinology (general) Flashcards
Investigations
- Endoscopy
- Skin test
- Blood tests
- Rhinomanometry
- MRI
What does rhinomanometry?
Measures the degree of nasal obstruction
Which FBC are relevant?
FBC
ANCA (anti-neutrophil cytoplasmic antibody) for vasculitis
ESR (measures levels of inflammatory response in the body
ACE (Angiotensin converting enzyme)
RAST: radioallergosorbent test
What do you see on an endoscopy?
Likely to see the inferior and middle turbinate
Likely to see the back of the nose
Unlikely to see the superior turbinate
Why do you do an ACE test with nasal disorders?
Could be related to TB or sarcoidosis
What is the likely PMH of a patient with nasal obstruction?
- Trauma
- Aspirin sensitivity
- Asthmatic
Nasal symptoms seen in rhinology
- Nasal blockage
- Nasal discharge
- Facial Pain
- Anosmia: reduced sense of smell
- Nasal deformity
- Epistaxis
- Sneezing
Angiofibroma
- Tumour which present exclusively in males
- Epistaxis only on one side
- Do not biopsy as profusely vascular and would bleed
- Treat with embolisation
What is choral atresia
Congenital Blockage of the posterior nasal aperture by either a membrane or bone.
Bilateral tends to show up in babies with trouble feeding.
If unilateral may not show up till later
What is a nasal endoscopy able to see?
The middle turbinate and back of the nose
Unlikely to see the sup turbinate
What is a RAST test
Radioallergosorbent Test
It tests the blood for specific IgE levels.
