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8 Cards in this Set
- Front
- Back
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What are the leading bacteria that cause sinusitis?
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-H-flu
-strep pneumoniae -moraxella catarrhalus |
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What is the dx/dx for sinusitis?
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-allergic rhinitis
-common cold -cigarette smoking -dental infection -GERD -cluster HA -Barotrauma -Nasal forgeing body -neaplasm -cystic fibrosis |
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What are some S/S of sinusitis?
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-nasal conggestion
-rhinorrhea -post nasal drip -facial pain/pressure -fever -pain/pressure on leaning forward -malaise -swollen, erythematous nasal mucosa -sinus tenderness to palpation |
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What are some labs/radiology that can be done in sinusitis?
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-often none are needed
-may consider CRP /ESR -CT of sinuses is imaging of choice |
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What are some OTC treatments for sinusitis?
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-saline spray
-steamy shower -vaprizer -Ibuprofen 600 mg 1 po q 6hrs -Tylenol 500mg 2 po q 8 hrs |
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What are some nasal decongestants that can be used in sinusitis?
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-pseudoephedrine extended release 120 mg bid
-pseudoephedrine/guaifenesin 120/600 mg 1 po q 12 hrs may also be helpful |
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What are some antibiotic treatments for sinusitis?
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-amox/clav 875/125 1 po BID x 14 days
-Bactim 1 po BID x 14 days -Azithromycin 500 mg po qd x 3 days |
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What are some sequela of sinusitis, especially if left untreated?
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-obrital cellulitis
-Pott's puffy tumor -Cavernous sinus thrombosis |
