Stuffy nose Flashcards
what are the 4 nasal symptoms to ask about
smell, stuffy, snot, sore
what are some other symptoms
sneezing, itching, crusting and epistaxis
what is a cause of infective rhinitis
viral upper resp tract infection
what are non infective causes of rhinitis
allergies/ non allergic
what are intermittent causes of allergic rhinitis
grass, tree pollen
what are persisitnat allergic rhinitis causes
house dust mite, cat and dog
what classifies intermittent rhiniitis
symptoms
what is persistent rhinitis
symptoms >4 days per week and > 4 weeks
What is mild classification of rhinitis
no alteration to daily life/ activity
what classifies a moderate to severe classification of rhinitis
abnormal sleep, impaired activity, missing school or work , troublesome symptoms
what is the treatment cascade for allergic rhinitis
avoid allergen- antihistamines- topical steroids- topical steroids and antihistamines
what are nasal polyps often associated with?
non allergic asthma
how dos ou treat nasal polyps
oral and then topical steroids
what symptoms would you get with acute infective rhinosinusitis
facial pain, discharge, nasal blockage
are acute infective rhino sinusitis normally viral or bacterial
viral
how do you treat acute infective rhinosinusitis
analgesics, decongestants, antibiotics if baaaad
what are complications of rhinosinusitis
bulging of the eye
what are non infective, non allergic causes of rhinitis
polyps and vasomotor rhinitis
what is an infective cause of rhinitis
rhinosinusitis
how should you manage non infective rhinitis
avoid allergen, HDM, change drug therapy, decrease alcohol intake, topical nasal steroid, antihistamine
how do you treat infective rhinitis
nasal decongestant, analgesia and broad spectrum antibiotic
what is a nasal septal haematoma
collection of blood within septum of nose,
If you come across unilateral nasal discharge
REFER URGENTLY- tumour or foreign body?
if a patient arrives with a bulging eyelid- what could it be and what do you do
orbital cellulitis (complication of sinusitis) and emergency referral asap!
