PHYSIOLOGY : WALDEN UNIVERSITY
Classification of acute sinusitis - ✔✔ANSW✔✔..👌Symptoms < 4
week
Classification of subacute sinusitis - ✔✔ANSW✔✔..👌Symptoms
4-12 weeks
Classification of chronic sinusitis - ✔✔ANSW✔✔..👌Symptoms >
12 weeks
Classification of recurrent sinusitis - ✔✔ANSW✔✔..👌3+
events/year without symptoms in between and last < 2 weeks
What percentage of cases of sinusitis receive antibiotics? How
many cases recover on their own without antibiotics? -
✔✔ANSW✔✔..👌80%
70%
What is an uncomplicated sinusitis? - ✔✔ANSW✔✔..👌No clinical
evidence of extension of infection outside of paranasal sinuses
and nasal cavity without neurological, ophthalmologic, or soft
tissue involvement
What is the most common site of sinusitis? -
✔✔ANSW✔✔..👌maxillary sinuses (largest sinuses)
,Risk factors of sinusitis - ✔✔ANSW✔✔..👌-History of allergic
rhinitis
-History of asthma, CF, chronic respiratory syndrome
-First or 2nd hand cigarette smoke
-Small nasal passages
Common viral causes of sinusitis - ✔✔ANSW✔✔..👌-Influenza
-Rhinovirus
-Parainfluenza
-RSV
-Adenovirus
Common bacterial causes of sinusitis - ✔✔ANSW✔✔..👌-Strep
pneumonia
-H flu
-Moraxella catarrhalis
-Staph aureus
Fungal sinusitis is ________ and typically seen in
_______________ - ✔✔ANSW✔✔..👌Rare
Immunosuppressed patients
Symptoms of acute rhinosinusitis - ✔✔ANSW✔✔..👌-Purulent
anterior nasal dx
-Purulent or discolored posterior nasal discharge
-Nasal congestion or obstruction
-Facial congestion, fullness
-Hyposmia, anosmia
-Fever
-HA
-Ear pain, pressure, fullness
-Halitosis
-Dental pain
, -Fatigue
3 cardinal symptoms of bacterial sinusitis - ✔✔ANSW✔✔..👌1)
Mucopurulent discharge
2) Nasal obstruction
3) Facial pain, pressure
What symptoms do children present with when they have viral
pharyngitis? - ✔✔ANSW✔✔..👌-Mouth breathing
-Vomiting
-Abdominal pain
-Diarrhea
Symptoms of bacterial pharyngitis - ✔✔ANSW✔✔..👌-Fever
(>101.5, 100.4 UTD)
-Sudden onset severe sore throat
-Painful swallowing
-HA
-N/V
-Abdominal pain
-Hx of exposure to strep
-Winter and early spring
HPI/ROS for pharygitis - ✔✔ANSW✔✔..👌-Exposure to anyone
with strep?
-Severity of symptoms (cough? swollen nodes? fever? tonsillar
exudates?)
-History of strep throat
-Sexual history if warranted
-Risk for HIV? (IVDU, blood borne exposures)
Streptococcal score for RST decision - ✔✔ANSW✔✔..👌Absence
of cough 1
Swollen & tender anterior nodes 1
Temp > 100.4 1