sinusitis

Question 1

nasal airway inflammation

Answer 1

rhinosinusitis

Question 2

major criteria for rhinosinusitis (5)

Answer 2

1. facial pain
2. nasal obstruction
3. hyposmia
4. purulence on exam
5. fever

Question 3

acute sinusitis defined as

Answer 3

under 4 weeks

Question 4

subacute sinusitis

Answer 4

4-12 weeks

Question 5

chronic sinusitis

Answer 5

12 weeks+

Question 6

recurrent acute sinusitis

Answer 6

4+ episodes per yr with resolution of sx b/w attacks

Question 7

does rhinitis or sinusitis typically present 1st

Answer 7

rhinitis

Question 8

what is rhinitis

Answer 8

inflammation of the mucous membranes of the nose

Question 9

sx of rhinitis (4)

Answer 9

1. congestion
2. sneezing
3. itching
4. nasal discharge

Question 10

acute rhinitis is usually caused by ____

Answer 10

a virus

Question 11

what suggests bacterial rhinitis

Answer 11

purulent discharge >5 days

Question 12

main complaint of allergic rhinitis

Answer 12

stuffy nose

Question 13

what can mimic rhinosinusitis and allergy in child

Answer 13

chronic adenoid infxn

Question 14

nasal congestion, chronic/recurrent clear to purulent rhinorrhea, chronic cough, age under 4

Answer 14

chronic adenoid infxn

Question 15

what can be a major contributing factor in chronic upper airway inflammation?

Answer 15

laryngopharyngeal reflux

Question 16

tx of bacterial sinusitis

Answer 16

Abx + oral steroids

Question 17

how do topical decongestants work

Answer 17

vasoconstriction of dilated mucosal blood vessels (alpha adrenergic agonists)