stuffy nose Flashcards
what type of hypersensitivity is allergic rhinitis?
IgE mediated type I hypersensitivity
what are the two types of rhinitis?
- infective (viral URTI)
- non infective (allregic and non allergic)
how can allergic rhinitis be divided?
- intermittent (grass pollen, tree pollen, fungal spored)
- Persistent (house dust mite, cat , dog)
how would you class intermittent rhinitis?
symptoms <4 days per week or symptoms for <4 weeks a year
how would you class persistent rhinitis?
-symptoms >4 ays per week and >4 weeks duration a year
how would you class mild rhinitis?
-normal sleep and no impairement of daily activities, sport, leisure and normal work and school and no troublesome symptoms
how would you class moderate-severe rhinitis?
one of more of the below:
- abnormal sleep
- impairement of daily activities, sport, leisure
- missing work or school
- troublesome symptoms
what is treatment for allergic rhinitis?
- allergen avoidance
- systemic therapy
- immunotherapy
how can worms avoid getting kicked out our immune system?
what are nasal polyps often associated with?
non allergic asthma
what is the treatment for nasal polyps?
oran then topical steroids
if that doesnt work then surgery
how may patients with acute infective rhinosinuvitis present?
facial pain
discharge
nasal blockage
what causes acute infective rhinosinuvitis?
98% are viral
what is the treatment for acute infective rhinosinuvitis?
- analgesics and decongestants
- if persistent more than a week/worsening add antibiotics
what are complications of acute infective rhinosinuvitis?
-can get infections spreading in orbital (this needs referred urgently)
