Rhinology History and Examination

Question 1

Questions for history

Answer 1

-Obstruction
=Unilateral / Bilateral
=Persistent / Intermittent
-Discharge
=Anterior / Posterior
=Mucus / Clear / Bleeding
-Sneezing & Itch
-Pain / Pressure
-Sense of Smell disturbance
-Facial pain
-PMH / Surgery / Trauma
-Medication (OTC or otherwise)

Question 2

Features of examination

Answer 2

-External
=Deformity, scars, breathing
-Internal
=Otoscope
=Little’s Area, Turbinates, Polyps
=Mouth
-Endoscopic
=Rigid
=Flexible

Question 3

Investigations

Answer 3

-Blood test
=FBC
=ESR
=ANCA/ACE
-Immunology
=SPT
=RAST
-Rhinometry
=Peak nasal flow
=Rhinomanometry
=Acoustic rhinometry
-Ciliary function
=Mucociliary clearance
=Ciliary beat frequency
-Radiology
=Plain XR
=CT
=MRI