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19 Cards in this Set
- Front
- Back
What % of URI's in adults develop into acute bacterial rhinosinusitis?
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0.5-2.0%
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What % of pt's receive antibiotics for the tx of sinusitis?
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90%
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What type of bugs are most commonly involved with sinusitis?
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H. Influenza
S. Pneumoniae Moraxella Catarrhalus |
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What is the dx that in inflammation/infection of the mucosal lining of the para-nasal sinuses that is often secondary to blockage of the sinus osteomeatus?
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sinusitis
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Sinusitis is often __ in nature, especially in the first 7-10 days
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viral
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What are typical s/s of sinusitis?
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nasal congestion
rhinorrhea (purulent nasal discharge) PND facial pain/pressure esp. with leaning forward fever malaise sinus tenderness to palpation |
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What treatments can you use to moisten/lavage the nasal mucosa?
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steam shower
vaporizer saline spray |
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What analgesics are good for sinusitis?
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Tylenol
Motrin |
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What topical spray med is good esp. for chronic sinusitis?
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fluticason 0.05%, 2 sprays per nostril QD
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What oral decongestant is effective in decreasing edema and improving drainage?
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pseudoephedrine ER 120mg BID-avoid in pt's with HTN
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If you choose to use abx, what abx should you choose?
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Amox/clav. 875mg BID
Trim/Sulfa BID Azithromax 500mg QD .3 days |
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What type of pt's should you consider abx therapy?
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if symptoms persist over 14 days or worsen in 7 days
Immunocomprimised Have other comorbidities |
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When should you make an ENT referral?
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if sx's have no improvement in 3 months, recurrent or complications/comorbities, immunocomprimised, diploplia/proptosis, or orbital edema
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T/F
In the normal host, most sinusitis is viral and will resolve on its own |
true
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What is osteomylitis of the frontal bone?
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pott's puffy tumor
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hemotological spread of infection thru the superior opthalmic vein or pterygoid venous plexus is called what?
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cavernous sinus thrombosis
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What is a major complication of sinusitis that involves the eye?
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orbital cellulits
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What radiology test is best for the dx of sinusitis?
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CT
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T/F
Plain films should be done routinely if you suspect sinusitis |
false, they suck and you don't need them. diagnose clinically.
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