Nose Pathologies

Question 1

Sinusitis

Answer 1

Inflammation of mucosal membrane lining nasal cavity or paranasal sinuses
- acute = viral
- chronic = bacterial

Question 2

Sinusitis S&S

Answer 2

• headache
• facial tightness
• tenderness of infected sinus
• nasal obstruction
• nasal discharge

Question 3

Sinusitis Treatment

Answer 3

• for symptoms (analgesics, antipyretics, decongestants)
• antibiotics (bacterial)
• hydration
• hot compress
• surgery

Question 4

Sinusitis RTP

Answer 4

• once afebrile
• does not obstruct breathing

Question 5

Deviated Septum

Answer 5

Displacement of nasal septum (caused by direct blow to nose)

Question 6

Deviated Septum S&S

Answer 6

• external nasal deformity
• unilateral nasal obstruction
• recurrent sinus infections
• nasal congestion
• nosebleed

Question 7

Deviated Septum Treatment

Answer 7

• refer to physician
• control acute epistaxis if present
• do not insert nose plugs or any object into nose
• ice
• surgery for deviation correction
• DO NOT attempt to reduce

Question 8

Deviated Septum RTP

Answer 8

at physician clearance (2-4 weeks after septoplasty)

Question 9

Nasal Fracture

Answer 9

lateral or frontal direction trauma to nose (lateral forces cause more deformity)

Question 10

Nasal Fracture S&S

Answer 10

• deformity
• bilateral epistaxis
• TTP
• swelling

Question 11

Nasal Fracture Treatment

Answer 11

• control bleeding
• refer
• surgical correction if needed

Question 12

Nasal Fracture RTP

Answer 12

may RTP wearing facial protection w/in a few days if fracture was uncomplicated

Question 13

Epistaxis

Answer 13

“Nosebleeds” following or in absence of trauma

Question 14

Epistaxis Treatment

Answer 14

• direct pressure
• tilt head forward
• ice
• gauze plug
• DO NOT blow nose for 2 hrs