Sinusitis

Question 1

Sinusitis Definition and Classification

Answer 1

• Inflammation of membranous lining of sinuses
• Acute: lasting 7-30 days
• Subacute: 4-12 wekks
• Recurring
• Chronic: >90 days
• Viral disease tends to last less than 10 days whereas worsening symptoms after 5 days, or symptoms lasting longer than 10 days suggest bacterial infection

Question 2

Sinusitis RFs

Answer 2

• URTI
• Allergy
• Asthma
• Smoking
• Hormonal status
• DM

Question 3

Sinusitis Clinical Assessment

Answer 3

-Palpate sinuses

Question 4

Acute Sinusitis

Answer 4

• Non resolving cold
• Local sinus pain with purulent rinorrhoea
• Facial discomfort, nasal obstruction, decreased or absent sense of smell

Question 5

Acute Sinusitis Investigations

Answer 5

-Not generally required

Question 6

Acute Sinusitis Management

Answer 6

• OTC pain relief
• Intranasal decongestant
• Antibiotics only if lasting 3 weeks, systemically unwell, or multiple comorbidities