Podcast
Questions and Answers
Why is it rare for the nasal mucosa to be affected without involving the paranasal sinuses?
Why is it rare for the nasal mucosa to be affected without involving the paranasal sinuses?
The ciliated respiratory mucosal lining of the nose and paranasal sinuses are contiguous.
What are the two main classifications of rhinosinusitis?
What are the two main classifications of rhinosinusitis?
Infectious and non-infectious.
Identify one type of chronic specific rhinosinusitis.
Identify one type of chronic specific rhinosinusitis.
Tuberculosis (TB).
What is the main cycle that complicates the pathogenesis of infectious rhinosinusitis?
What is the main cycle that complicates the pathogenesis of infectious rhinosinusitis?
List one type of non-allergic rhinitis.
List one type of non-allergic rhinitis.
What is a common treatment for allergic rhinitis that can lead to empty nose syndrome?
What is a common treatment for allergic rhinitis that can lead to empty nose syndrome?
Name one condition classified under chronic nonspecific rhinosinusitis.
Name one condition classified under chronic nonspecific rhinosinusitis.
Identify a drug that can cause drug-induced rhinitis.
Identify a drug that can cause drug-induced rhinitis.
What characterizes acute rhinosinusitis?
What characterizes acute rhinosinusitis?
What is rhinitis medicamentosa?
What is rhinitis medicamentosa?
List three commonly detected viruses associated with respiratory infections.
List three commonly detected viruses associated with respiratory infections.
What are the major symptoms that indicate a sinus infection?
What are the major symptoms that indicate a sinus infection?
What criterion is required for a diagnosis of a single sinus infection?
What criterion is required for a diagnosis of a single sinus infection?
Identify a minor symptom associated with sinus infections.
Identify a minor symptom associated with sinus infections.
What is the clinical significance of tenderness over the affected sinus during examination?
What is the clinical significance of tenderness over the affected sinus during examination?
What imaging study is noted as unnecessary for diagnosing acute rhinosinusitis?
What imaging study is noted as unnecessary for diagnosing acute rhinosinusitis?
If symptoms of acute rhinosinusitis persist for more than one week, what treatment options are recommended?
If symptoms of acute rhinosinusitis persist for more than one week, what treatment options are recommended?
Name two potential differential diagnoses for a single sinus infection.
Name two potential differential diagnoses for a single sinus infection.
Describe one investigation approach if complications from acute rhinosinusitis are suspected.
Describe one investigation approach if complications from acute rhinosinusitis are suspected.
What is the significance of pus in the middle meatus during examination?
What is the significance of pus in the middle meatus during examination?
What is the primary characteristic feature of Chronic Rhinosinusitis (CRS)?
What is the primary characteristic feature of Chronic Rhinosinusitis (CRS)?
Identify the most common symptom of CRS.
Identify the most common symptom of CRS.
What treatment option is recommended for acute exacerbation of CRS?
What treatment option is recommended for acute exacerbation of CRS?
What is a significant risk associated with prolonged use of topical decongestants like xylometazoline?
What is a significant risk associated with prolonged use of topical decongestants like xylometazoline?
Describe the investigation method of choice for assessing CRS.
Describe the investigation method of choice for assessing CRS.
What classification exists concerning nasal polyps in CRS?
What classification exists concerning nasal polyps in CRS?
What role do steroids play in the management of CRS?
What role do steroids play in the management of CRS?
What common factors can predispose an individual to CRS?
What common factors can predispose an individual to CRS?
What typically marks the difference between viral and bacterial rhinosinusitis in terms of symptom duration?
What typically marks the difference between viral and bacterial rhinosinusitis in terms of symptom duration?
Name at least two common viral agents responsible for acute rhinosinusitis.
Name at least two common viral agents responsible for acute rhinosinusitis.
What are the cardinal symptoms of acute bacterial rhinosinusitis?
What are the cardinal symptoms of acute bacterial rhinosinusitis?
Why are antibiotics generally unnecessary in treating acute viral rhinosinusitis?
Why are antibiotics generally unnecessary in treating acute viral rhinosinusitis?
What is the incubation period for acute viral rhinosinusitis?
What is the incubation period for acute viral rhinosinusitis?
What might complicate an acute viral infection in an immunocompromised patient?
What might complicate an acute viral infection in an immunocompromised patient?
Identify two features of treatment for acute rhinosinusitis.
Identify two features of treatment for acute rhinosinusitis.
What role does the ciliary epithelium play in the pathophysiology of acute bacterial rhinosinusitis?
What role does the ciliary epithelium play in the pathophysiology of acute bacterial rhinosinusitis?
What is FESS and how does it minimize external scarring?
What is FESS and how does it minimize external scarring?
Describe the main difference in treatment between preseptal cellulitis and orbital cellulitis.
Describe the main difference in treatment between preseptal cellulitis and orbital cellulitis.
What complication does Chandler's classification associate with orbital cellulitis?
What complication does Chandler's classification associate with orbital cellulitis?
What is Pott Puffy Tumor and how does it relate to sinus infection?
What is Pott Puffy Tumor and how does it relate to sinus infection?
What are common clinical features associated with preseptal cellulitis?
What are common clinical features associated with preseptal cellulitis?
What significant symptoms are indicative of a subperiosteal abscess in the context of sinus disease?
What significant symptoms are indicative of a subperiosteal abscess in the context of sinus disease?
How does cavernous sinus thrombosis present, and what is its treatment?
How does cavernous sinus thrombosis present, and what is its treatment?
In what age group is orbital complication due to sinus infection most common?
In what age group is orbital complication due to sinus infection most common?
How long do symptoms last in acute rhinosinusitis?
How long do symptoms last in acute rhinosinusitis?
List three common viruses that cause acute viral rhinosinusitis.
List three common viruses that cause acute viral rhinosinusitis.
What are the two most common bacteria responsible for acute bacterial rhinosinusitis?
What are the two most common bacteria responsible for acute bacterial rhinosinusitis?
What is the primary treatment approach for acute viral rhinosinusitis?
What is the primary treatment approach for acute viral rhinosinusitis?
If a patient with acute rhinosinusitis has symptoms that do not improve within a week, what intervention should be considered?
If a patient with acute rhinosinusitis has symptoms that do not improve within a week, what intervention should be considered?
How long do symptoms last in chronic rhinosinusitis?
How long do symptoms last in chronic rhinosinusitis?
List three major symptoms that are used to diagnose chronic rhinosinusitis.
List three major symptoms that are used to diagnose chronic rhinosinusitis.
Identify a condition that can be a local predisposing factor for chronic rhinosinusitis.
Identify a condition that can be a local predisposing factor for chronic rhinosinusitis.
What is the first-line medical treatment for acute exacerbation of chronic rhinosinusitis
What is the first-line medical treatment for acute exacerbation of chronic rhinosinusitis
Besides antibiotics, name two other medical treatments for chronic rhinosinusitis.
Besides antibiotics, name two other medical treatments for chronic rhinosinusitis.
If medical treatment fails to control chronic rhinosinusitis, what surgical option is typically considered?
If medical treatment fails to control chronic rhinosinusitis, what surgical option is typically considered?
Name two examination findings suggestive of allergic rhinitis.
Name two examination findings suggestive of allergic rhinitis.
What is the duration for subacute rhinosinusitis?
What is the duration for subacute rhinosinusitis?
Define recurrent rhinosinusitis.
Define recurrent rhinosinusitis.
Why are rhinosinusitis and sinusitis usually combined?
Why are rhinosinusitis and sinusitis usually combined?
Name a major symptom from chronic rhinosinusitus.
Name a major symptom from chronic rhinosinusitus.
For diagnosis, what are two major factors or one major with how many minor criteria?
For diagnosis, what are two major factors or one major with how many minor criteria?
Besides the major and minor symptoms, what else must a doctor consider when diagnosing sinusitis?
Besides the major and minor symptoms, what else must a doctor consider when diagnosing sinusitis?
What type of scan should a doctor consider when diagnosing sinusitis?
What type of scan should a doctor consider when diagnosing sinusitis?
Why topical use of Xylometazoline should be limited only for few days?
Why topical use of Xylometazoline should be limited only for few days?
Which nasal cavity and paranasal sinuses will have a inflammatory for longer than 12 weeks in chronic rhinosinusitis?
Which nasal cavity and paranasal sinuses will have a inflammatory for longer than 12 weeks in chronic rhinosinusitis?
Name one of the most common indications of CRS.
Name one of the most common indications of CRS.
What could be found during chronic rhinosinusitis examination?
What could be found during chronic rhinosinusitis examination?
What type of scan is advised for investigation of chronic rhinosinusitis?
What type of scan is advised for investigation of chronic rhinosinusitis?
Which medication can be used to treat acute exacerebation of CRS
Which medication can be used to treat acute exacerebation of CRS
Name one surgical treatment of CRS
Name one surgical treatment of CRS
What system of complications can present with rhinosinusitis?
What system of complications can present with rhinosinusitis?
What are the indications of Orbital complications?
What are the indications of Orbital complications?
How should preseptal cellulitis present?
How should preseptal cellulitis present?
How is color vision affected by Ethmoidal vein Thrombophelito?
How is color vision affected by Ethmoidal vein Thrombophelito?
What condition of orbital abscess can be an indication to proceed with an urgent CT scan?
What condition of orbital abscess can be an indication to proceed with an urgent CT scan?
What infection can progress from retrograde thrombophlebitis of the valveless ophthalmic veins?
What infection can progress from retrograde thrombophlebitis of the valveless ophthalmic veins?
What should always be asked about a history when it relates to orbital complications?
What should always be asked about a history when it relates to orbital complications?
Flashcards
Rhinosinusitis
Rhinosinusitis
Inflammation of the nasal cavity and paranasal sinuses, often combined due to the continuous mucosal lining.
Infectious Rhinosinusitis
Infectious Rhinosinusitis
A common cause of rhinosinusitis spread by aerosolized droplets from coughing and sneezing.
Acute Viral Rhinosinusitis
Acute Viral Rhinosinusitis
Rhinosinusitis caused by respiratory viruses like rhinovirus, influenza, and parainfluenza viruses.
Acute Viral Rhinosinusitis Duration
Acute Viral Rhinosinusitis Duration
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Acute Bacterial Rhinosinusitis
Acute Bacterial Rhinosinusitis
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Symptoms of Acute Bacterial Rhinosinusitis
Symptoms of Acute Bacterial Rhinosinusitis
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Treatment for Acute Rhinosinusitis
Treatment for Acute Rhinosinusitis
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Major Symptoms of Rhinosinusitis
Major Symptoms of Rhinosinusitis
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Minor Symptoms of Rhinosinusitis
Minor Symptoms of Rhinosinusitis
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Diagnosing Rhinosinusitis
Diagnosing Rhinosinusitis
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Physical Exam Findings in Rhinosinusitis
Physical Exam Findings in Rhinosinusitis
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Antibiotic Treatment Duration
Antibiotic Treatment Duration
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Chronic Rhinosinusitis (CRS)
Chronic Rhinosinusitis (CRS)
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Clinical Features of CRS
Clinical Features of CRS
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Investigating CRS
Investigating CRS
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Treatment of CRS
Treatment of CRS
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Surgical Treatment for CRS
Surgical Treatment for CRS
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Orbital Complications of Rhinosinusitis
Orbital Complications of Rhinosinusitis
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Intracranial Complications of Rhinosinusitis
Intracranial Complications of Rhinosinusitis
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Pott Puffy Tumor
Pott Puffy Tumor
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Periorbital Edema
Periorbital Edema
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Orbital Cellulitis
Orbital Cellulitis
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Location of Subperiosteal Abscess
Location of Subperiosteal Abscess
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Acute Rhinosinusitis (RS)
Acute Rhinosinusitis (RS)
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Subacute RS
Subacute RS
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Recurrent RS
Recurrent RS
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Acute Exacerbation of Chronic RS
Acute Exacerbation of Chronic RS
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Pathogenesis of Infectios rhinosinusitis
Pathogenesis of Infectios rhinosinusitis
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Viruses Implicated in Rhinosinusitis
Viruses Implicated in Rhinosinusitis
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Bacterial Causes of Rhinosinusitis
Bacterial Causes of Rhinosinusitis
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Infection Type from Dental Origin
Infection Type from Dental Origin
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Single Sinus Infection Causes
Single Sinus Infection Causes
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Findings in Allergic Rhinitis
Findings in Allergic Rhinitis
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Examination for Asthma Suspect
Examination for Asthma Suspect
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Chronic RS Characteristics
Chronic RS Characteristics
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Antibiotics for Exacerbation of CRS
Antibiotics for Exacerbation of CRS
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Steroid Nasal Spray for CRS
Steroid Nasal Spray for CRS
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Leukotriene Receptor Antagonist (LTRA)
Leukotriene Receptor Antagonist (LTRA)
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Acute RS Definition
Acute RS Definition
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Why Rhinosinusitis Together?
Why Rhinosinusitis Together?
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Causes of Mucosal Swelling
Causes of Mucosal Swelling
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Vicious Cycle in RS
Vicious Cycle in RS
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Examples of Infectious Rhinitis
Examples of Infectious Rhinitis
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Examples of Non-Infectious Rhinitis
Examples of Non-Infectious Rhinitis
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Types of Non-allergic Rhinitis
Types of Non-allergic Rhinitis
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Common detected viruses
Common detected viruses
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Viral Infection in Acute RS
Viral Infection in Acute RS
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Symptomatic Treatments for Acute Viral RS
Symptomatic Treatments for Acute Viral RS
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Features of Major symptoms
Features of Major symptoms
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Study Notes
- Rhinosinusitis is defined as an inflammatory and/or infectious condition of nasal cavity and one or more of the paranasal sinus cavities
- Usually rhinosinusitis is combined because the mucosa of both the nose and sinuses are continuous with each other
- Acute Rhinosinusitis lasts for less than or equal to 4 weeks with complete resolution
- Subacute Rhinosinusitis lasts for 4-12 weeks
- Chronic Rhinosinusitis lasts for approximately 12 weeks
- Recurrent Rhinosinusitis involves four or more episodes per year, each lasting 7-10 days or more with complete resolution in between episodes
- Acute exacerbation of chronic Rhinosinusitis is the sudden worsening of chronic Rhinosinusitis with a return to baseline after treatment
- With Acute viral Rhinosinusitis, symptoms improve within a week or 10 days
- Treatment for Acute viral Rhinosinusitis is symptomatic and includes topical nasal decongestants, antihistamines and analgesics
- Aspirin should be avoided in Acute viral Rhinosinusitis as it has been shown to increase shedding of the virus
- Encourage plenty of fluid intake when treating Acute viral Rhinosinusitis
- Nasal saline sprays are useful for treating Acute viral Rhinosinusitis
- Antibiotics are not needed in Acute viral Rhinosinusitis
- In immunocompromised patients, Acute viral Rhinosinusitis can convert to Bacterial Rhinosinusitis and may also cause pharyngitis, bronchitis, pneumonia, or otitis media
- Two major symptoms or one major symptom and two minor symptoms are required in order to reach a diagnosis
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