Sinusitis Flashcards
1
Q
Define Sinusitis
A
it is the inflammation of the paranasal sinuses
usually the sinuses are sterile
2
Q
commonest causes of acute Sinusitis
A
Streptococcus pneumoniae
Haemophilus influenzae
rhinoviruses
3
Q
risk factors for Sinusitis
A
Nasal obstruction
recent local infection
swimming/diving
smoking
4
Q
presentation of Sinusitis
A
facial pain
typically frontal pain worse on moving forward
nasal discharge - thick and purulent
nasal obstruction “mouth breathing”
post nasal drip
5
Q
treating acute Sinusitis
A
analgesia
intranasal decogestants (b5a5)
oral Abx are not usually give unless severe, amoxicillin is 1st line
6
Q
treating chronic Sinusitis
A
intranasal corticosteroids are often beneficial
referral to ENT may be appropriate
