"Stuffy Nose" Flashcards

1
Q

What type of hypersensivity reaction is occuring in allergic rhinits?

A

Type 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the 4 core nasal symptoms (related to rhinitis)

A

Blockage
Loss of sense of smell
Nasal discharge
Facial pain

Other smptoms include:
Sneezing
Itching
Crusting in nose
Epitaxis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Definition of rhinitis:

A

Inflammation of the mucous membrane of the nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List (8) nasal symtoms (often reated to rhinitis):

A
Blockage
Anosmia
Nasal dischange
Facial Pain
Sneezing
Itching
(crusting in nose)
Epitaxis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name (5) secondary symptoms to a blocked nose?

A
Dry mouth
Sore throat
Halitosis
Snoring
Loss of sense of taste (possibly partly due to anosmia, possibly partly due to dry mouth, caused by mouth-breathing)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What (3) things are you aiming to establish in a nasal examination?

A

Are the airways patent?

Is there any deviation of external nose?

What is the mucosa like inside the nose?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the tool called that shines a light into the patient’s nose to look at the mucosa?

A

Oroscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the most common infective cause of rhinitis?

A

Virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does healthy mucosa inside the nose look like?

A

Pink, not inflamed, no thick mucous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is vasomotor rhinitis?

A

Nonallergic rhinitis (vasomotor rhinitis) is a condition that causes chronic sneezing, congestion, or runny nose. While these symptoms are similar to those of allergic rhinitis (hay fever), nonallergic rhinitis is different because, unlike an allergy, it doesn’t involve the immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name (3) causes of persistant allergic rhinits:

A

Cats (enzyme in cat saliva)
House dust mite (and house dust mite faeces)
Dogs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why are cats particularly allergenic?

A

Enzme in cat saliva is an allergen

Cats lick self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the classification for “persistent” allergic rhinitis?

A

> 4 days/week
AND
1 months/year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the classification for “intermittent” allergic rhnitis?

A

<4 days a week
OR
<1 month a year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the description of “mild” allergic rhinitis?

A

Normal sleep
No impairment of daily activitis, sports, leisure
No missing work/school
No troublesome symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the description for “moderate-severe” allergic rhinitis?

A

Abnormal sleep
Impairment of daily activities, sports, leisure
Missing work/school
Troublesome symptoms

17
Q

What is the stepwise approach to treatment of allergic rhinits?

A

(Allergen avoidance)

  1. Antihistamines
  2. Topical steroids (good if blockage)
  3. Antihistamines + Topical steroids
18
Q

Treatment for nasal polyps:

A
  1. Oral steroids
  2. Topical steroids

IF NO BETTER –> Surgery

19
Q

Name (3) symptoms of acute infective rhinitis:

A

Facial pain
Discharge
Nasal blockage

20
Q

Treatment for acute infective rhinitis:

A

Analgaesics
Decongestants

(IF persisting/worsening) –> Add antibiotic (broad spectrum)

21
Q

Investigations for rhinitis:

2

A

Skin prick test
RAST (IgE levels)

(Do NOT do nasal x-ray or sinus x-ray!!)

22
Q

Management of non-infective rhinitis:

A

(allergen/irritant avoidance)

  1. Topical nasal steroid
  2. (+/- antihistamine)
  3. Topical anticholinergic
23
Q

Management of infective rhinitis:

A
Nasal decongestant (short-term use)
Analgesia (if pain)

–> MAY have to add broad spectrum anti-biotic

24
Q

What is rhinoplasty?

A

Plastic surgery performed on the nose

25
Q

Why is unilateral discharge worrying in children?

A

? foreign body in nose

REFER URGENTLY

26
Q

Why is unilateral discharge worrying in adults?

A

? nasal or paranasal tumour

REFER URGENTLY

27
Q

Name a complication of acute sinusitis that needs emergency referal:

A

Orbital cellulitis