Sinusitis Flashcards
what are the two main causes of sinusitis?
- decreased function of mucocillia
- obstructed osteomeatal complex
a patient presents with nasal congestion/drainage, purulent or clear rhinorrhea, post nasal drainage, facial pain/pressure/headache that becomes worse when bending down, cough, fever, malaise, toothache, halitosis, or change in smell. what are they experiencing?
sinusitis
a patient has facial tenderness with palpation, rhinorrhea (purulent or clear), post nasal drainage, inflamed/edematous nasal mucosa, and possible photophobia. what are they experiencing?
sinusitis (acute)
acute sinusitis can be due to either _____ or _____
viruses
bacteria
patient presents with sinusitis symptoms for less then 10 days and is not worsening. what are they experiencing?
acute viral sinusitis
patient presents with sinusitis symptoms for more than 10 days but less then 30 days, and symptoms initially improve but then worsen, or consistently worsen. what are they experiencing?
acute bacterial sinusitis
what are the supportive treatments for acute viral sinusitis? (3)
- analgesics
- hypertonic nasal saline
- nasal steroids
what is a supportive treatment for acute viral sinusitis with concurrent ETD?
decongestants
what are 3 nasal steroids?
- flonase
- pulmicort
- nasonex
what is the treatment for bacterial sinusitis? (2)
- same as viral
- antibiotics
what is the most common etiology of acute bacterial sinusitis?
strep pneumoniae
what is the second most common etiology of acute bacterial sinusitis?
H. flu
sinusitis that is due to chronic inflammation and lasts over 12 weeks
chronic sinusitis
what are the treatments for chronic sinusitis? (2)
- hypertonic nasal saline
- nasal steroids
what is something we should order when a patient with sinusitis is non-responsive to antibiotics, has recurrent/chronic infection, a complicated dental infection or when there is suspected intracranial involvement or CSF fluid rhinorrhea?
imaging
