Sinusitis Flashcards
Clasification Rinosinusitis
<4 weeks
4-12 weeks
>12 weeks
Acute
Subacute
Chronic
Recenly: 4 acute RS for a year.
Como diferencias una ARS viral de una Bacteriana?
Sintomas <10 dias –> Viral
Dolor maxilar, fiebre y purulento? –> Bacterial
Son los Agentes etiologicos de la ARS
Mismos que Neumonia
S. Pneumonae, H. Influenzae. Moraxela.
Symtoms of ARS?
Hyposmia, Mailar Dental Air, FEVER, Aural Fullnes (Oído tapado), Cought
Symtoms of Chronic RS (CRS)
Nasal obstruction + Facial Pain
CRS
Maxilary Sinusitis
Fungal Ball
CRS
Px DM/VIH
-Necrotic Mucosa-
Emergency-Aspergilus
Fungal Sinusits
uso en
Se debe usar Tomografia?
Escala para Hllazgo endoscopico
CT? –> Lund Maskey
Escala Endoscopica: Lund Kennedy
Rx Usadas
Simepre pedir la TAC ante una ARS/CRS
Cadwell (Fronto/Etmoidal)
Waters(Maxilar)
Niños >6 años :) se puede, sino no…
Ts use at ARS
What about CRS?
Saline Irrigación Spray | Nasal Steroids | Antibiotics
I. Macrolides: Eritro/CLARITRO/Azitromycin.
Compications
No limitation of movement normal visión, infection is anterior to the orbital septum [
Periorbotal EDEMA :)
Complication
Chilldren, if there is Chemosis (RED EYES), proptosis. Pain. [Hospital Px, ] posterior orbital septum
Orbital Cellulitis
abscess are at perostium lamina papiracya
Puss Colection
Cant make the “H” Test vision
Subperisteal Abscess
Complication
Pus in orbit, CANT FUCKING MOVE THE EYE
Loss Vission
Orbital Abscess
Is the most agresive Complication
T°c, ophthalmoplegia, ptosis, proptosis red eye, blindness, meningitis
CAVERNOUS SINUS THROMBOSIS
Ver External Ear or AOM.