Stuffy Nose Flashcards
what are the secondary symptoms of nasal obstruction?
dry mouth, sore throat, snoring, halitosis, loss of taste
what are the main causes for intermittent allergic rhinitis?
grass pollen, tree pollen, fungal spores
what are main causes for persistent allergic rhinitis?
house dust mite, cat, dog
what is the first step in treating allergic rhinitis?
antihistamines
2nd step in treating allergic rhinitis?
topical steroids
3rd step in treating allergic rhinitis?
topical steroids and antihistamines
why type of asthma is nasal poylps often associated with?
non-allergic asthma
how do you manage nasal polyps?
treat with oral then topical steroids, if not better then surgery
how does acute infective rhinosinusitis present?
facial pain, nasal discharge, nasal blockage
what % of acute infective rhinosinusitis are viral?
98%
how do you treat acute infective rhinosinusitis?
treat with analgesia and decongestants
what is a serious complication of rhinosinusitis when the ethmoidal air cells are blocked?
can get an infection spreading to the orbits
if an infection from the sinuses spreads to the orbits, what can happen if it is not treated?
can lose their sight and pus can get into cavernous sinus and is fatal
if you see swollen adenoids in a 13/14/15 year old boy, what diagnosis should you consider?
angiofibromatosis
if someone has bleeding and discharge from one side of the nose, and unilateral facial swelling, what is an important differential to consider?
tumour in sinuses