Stuffy Nose Flashcards
What 4 types of drug may be used to treat a stuffy nose?
topical corticosteroid, antihistamine, decongestants, anticholinergics
Give 3 examples of intermittent allergic rhinitis.
grass pollen, tree pollen, fungal spores
Give 3 examples of persistent allergic rhinitis.
house dust mite, cat, dog
What duration of symptoms is described as persistent?
> 4 days per week AND for 4 weeks or more
What duration of symptoms is described as intermittent?
<4 days per week OR for 4 weeks or less
Which third of the nasal pyramid is bony rather than cartilage?
upper third
Describe the stepwise approach to allergic rhinitis.
- Allergen avoidance
- Allergen avoidance + antihistamines
- Allergen avoidance + topical steroids
- Allergen avoidance + antihistamines + topical steroids
What are nasal polyps often associated with?
non allergic asthma
How should nasal polyps be treated?
oral then topical steroids
If no improvement, surgery
What type of rhinitis is hay fever?
intermittent
What can non allergic rhinitis be split into?
vasomotor rhinitis
polyps
Should you investigate with nasal X rays and sinus X rays?
NO
How should you treat infective rhinosinusitis treatment?
nasal decongestant
analgesia
broad spectrum antibiotics
What may unilateral discharge from nostril suggest?
nasal or paranasal surgery (refer urgently)
What is orbital cellulitis a complication of?
acute sinusitis
