sinusitis

Question 1

what

Answer 1

inflammation of paranasal sinuses

Question 2

acute

Answer 2

< 12wks

Question 3

chronic

Answer 3

> 12wks

Question 4

4 sets of paranasal sinuses

Answer 4

frontal
maxillary
ethmoid
sphenoid

Question 5

inflammation of sinuses can be caused by

Answer 5

infection
allergies
obstruction of drainage - foreign body, trauma, polyps
smoking

Question 6

features

Answer 6

recent viral URTI 
congestion 
discharge
facial pain 
headache

Question 7

OE

Answer 7

tenderness
inflammation nasal mucosa
discharge
fever

Question 8

Mx

Answer 8

don’t offer antib with symptoms <10days. Most are viral and resolve 2-3wks

if not improving after 10days can give steroid nasal spray and antibiotic prescription

Question 9

antibiotic choice

Answer 9

phenoxymethylpenicillin