Sinusitis Flashcards
Fungal infections are the most common cause of sinusitis in immunosuppressed individuals.
True or false?
True.
What are the different types of sinus headaches?
- frontal (frontal area, above the eyes)
- ethmoidal (includes frontal headaches, “splitting”)
- sphenoidal(less local, frontal n occipital region)
- maxillary (biggest of facial sinuses)
What is the purpose of sinuses in our head?
- lighten weight of head
- resonance to voice
- provide additional surface area for mucous membrane lining to trap pathogens during inhalation
Negative pressure in the sinuses stimulates the membranes to release__________which fills the sinus cavity and is unable to drain.
Transudate.
-causes head heaviness etc
Mucus that us thick, sticky and green or yellow is indicative of a fungal infection of the sinuses.
True or false?
False.
Viral or bacterial infections.
Almost ALWAYS preexisting infection eg cold.
Often patients experience malaise, fever and chills.
May require medical treatment.
What are some of the onset characteristics of allergic sinusitis?
- itchy eyes, roof of mouth, pharynx
- nasal congestion, sneezing
- clear watery discharge
- watery eyes, frontal headache
- possible conjunctivitis
No typical danger of infection
A deviated septum or nasal polyps are the most common issues associated with which sinusitis cause.
-structural obstruction.
Which cause of sinusitis provides a desirable growth medium bacterial infection?
Structural obstruction.
Overuse of nasal sprays can influence which cause of sinus headache?
Rebound sinus headache.
Active free forward flexion should be performed first as it is the immediate indicator of which sinus headache a patient has.
True or false?
False.
Done last as will induce pain.
When patient bends head forward, the pain will decrease if they have a sinus headache.
True or false.
False.
Increase.
Tension headaches decrease with forward flexion.
Bacterial sinusitis are generally treated with antibiotics for 7-10 days.
True or false.
True.
Chronic cases 4-6weeks with broader antibiotics such as cipro or ampicillin.
Why aren’t Vasoconstrictor such as phenylephrine prescribed past 7days?
-can produce rebound vasodilation and recurrence.
How can inhalation antiinflammatories affect surrounding tissues?
Shrinking them which can cause rebound effect with prolonged use.
Antihistamines combined with vasoconstrictors can raise blood pressure and require hypertensive patients to be monitored.
True or false?
True.
