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23 Cards in this Set

  • Front
  • Back
1. Allergic salute?
a. Crease in nasal bridge, characteristic of upward nose rubbing.
2. What are allergic “shiners” caused by?
a. Nasal mucosal oedema interfering w/venous drainage resulting in venous pooling under the eye.
3. Rhinitis
a. Inflammation of the nasal mucosa.
4. Sinusitis?
a. Mucous membrane inflammation of a sinus cavity.
5. How can CSF leak be distinguished?
a. By demonstrating glucose in the fluid.
6. How is allergic rhinitis usually diagnosed?
a. History and exam alone!
b. Eosinophils in a Hansel stain of nasal drainage support the diagnosis.
c. Allergy testing may be helpful in pts w/severe symptoms.
7. Vasomotor rhinitis?!?
a. Symptoms similar to allergic rhinitis but more related to weather changes, physical stimuli, or emotion in pts lacking atopic histories or nasal smear eosinophilia.
b. Requires no treatment.
c. However, a topical antihistamine such as azelastine (Astelin) may be helpful in older children.
8. Principal tx in allergic rhinitis?
a. Allergen avoidance.
b. If it can’t be avoided, antihistamines may control symptoms.
9. Most commonly used paediatric decongestant?
a. Pseudoephedrine.
10. SE of Pseudoephedrine?
a. HTN
b. Agitation
c. Insomnia
d. Occasionally hallucinations
11. Use of Afrin (topical decongestant)?
a. Useful initially for significant obstruction, but should only be used for a few days at a time bc chronic use leads to rebound oedema (rhinitis medicamentosa).
12. Are Nasal steroids effective for treatment of allergic rhinitis?
a. Yes
13. SE of Nasal steroids for allergic rhinitis?
a. Epistaxis
b. Irritation
c. Burning
d. In general, nasal steroids are well tolerated. Little or no systemic effect is expected.
14. Unilateral purulent nasal discharge, think?
a. Foreign body.
15. Complication of chronic inflammation of allergic rhinitis and chronic sinusitis?
a. Nasal polyps.
b. But a child who is <10-12 w/polyps should be tested for CF.
16. Prevalence of nasal polyps in CF pts?
a. 25%
17. Kartagener syndrome symptoms?
1. Situs inversus
2. Chronic sinusitis/otitis media
3. Airway disease.
18. Confirmation test for Kartagener syndrome?
a. Cilia electron microscopy
19. What does a positive NBT test suggest?
a. Phagocytic defect.
20. What does a low total immunoglobulin suggest?
a. Humoral Immunodeficiency.
21. Most common paediatric sarcoma?
a. Rhabdomyosarcoma.
b. Approx. ½ of these are located in the head/neck region
22. How does rhabdomyosarcoma typically present?
a. Sometimes tender mass, causing symptoms from normal structure displacement.
b. When arising from nasal tissue, it can obstruct the nares and extend into the skull (causing cranial nerve involvement).
23. Note: Attempting to remove a fleshy nasal mass in the office is NOT appropriate!!!!!
23. Note: Attempting to remove a fleshy nasal mass in the office is NOT appropriate!!!!!