Stuffy nose

Question 1

what are the 4 nasal symptoms to ask about

Answer 1

smell, stuffy, snot, sore

Question 2

what are some other symptoms

Answer 2

sneezing, itching, crusting and epistaxis

Question 3

what is a cause of infective rhinitis

Answer 3

viral upper resp tract infection

Question 4

what are non infective causes of rhinitis

Answer 4

allergies/ non allergic

Question 5

what are intermittent causes of allergic rhinitis

Answer 5

grass, tree pollen

Question 6

what are persisitnat allergic rhinitis causes

Answer 6

house dust mite, cat and dog

Question 7

what classifies intermittent rhiniitis

Answer 7

symptoms

Question 8

what is persistent rhinitis

Answer 8

symptoms >4 days per week and > 4 weeks

Question 9

What is mild classification of rhinitis

Answer 9

no alteration to daily life/ activity

Question 10

what classifies a moderate to severe classification of rhinitis

Answer 10

abnormal sleep, impaired activity, missing school or work , troublesome symptoms

Question 11

what is the treatment cascade for allergic rhinitis

Answer 11

avoid allergen- antihistamines- topical steroids- topical steroids and antihistamines

Question 12

what are nasal polyps often associated with?

Answer 12

non allergic asthma

Question 13

how dos ou treat nasal polyps

Answer 13

oral and then topical steroids

Question 14

what symptoms would you get with acute infective rhinosinusitis

Answer 14

facial pain, discharge, nasal blockage

Question 15

are acute infective rhino sinusitis normally viral or bacterial

Answer 15

viral

Question 16

how do you treat acute infective rhinosinusitis

Answer 16

analgesics, decongestants, antibiotics if baaaad

Question 17

what are complications of rhinosinusitis

Answer 17

bulging of the eye

Question 18

what are non infective, non allergic causes of rhinitis

Answer 18

polyps and vasomotor rhinitis

Question 19

what is an infective cause of rhinitis

Answer 19

rhinosinusitis

Question 20

how should you manage non infective rhinitis

Answer 20

avoid allergen, HDM, change drug therapy, decrease alcohol intake, topical nasal steroid, antihistamine

Question 21

how do you treat infective rhinitis

Answer 21

nasal decongestant, analgesia and broad spectrum antibiotic

Question 22

what is a nasal septal haematoma

Answer 22

collection of blood within septum of nose,

Question 23

If you come across unilateral nasal discharge

Answer 23

REFER URGENTLY- tumour or foreign body?

Question 24

if a patient arrives with a bulging eyelid- what could it be and what do you do

Answer 24

orbital cellulitis (complication of sinusitis) and emergency referral asap!