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19 Cards in this Set

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