Post on 23-Jan-2018
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TYPE OF SINUSITIS
DURATION OF EACH EPISODE
SYMPTOMS IN BETWEEN EPISODES
ACUTE BACTERIAL ACUTE BACTERIAL SINUSITISSINUSITIS
< 30 DAYS< 30 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION
SUB-ACUTE SUB-ACUTE BACTERIAL SINUSITISBACTERIAL SINUSITIS
30- 90 DAYS30- 90 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION
RECURRENT ACUTE RECURRENT ACUTE BACTERIAL SINUSITISBACTERIAL SINUSITIS
EACH EPISODE <30 DAYSEACH EPISODE <30 DAYS @ INTERVAL OF 10 DAYS@ INTERVAL OF 10 DAYS
COMPLETE RESOLUTIONCOMPLETE RESOLUTION
CHRONIC SINUSITISCHRONIC SINUSITIS > 90 DAYS> 90 DAYS PERSISTENT RESIDUAL PERSISTENT RESIDUAL RESPIRATORY SYMPTOMS RESPIRATORY SYMPTOMS
(Cough, Rhinorrhea, Nasal (Cough, Rhinorrhea, Nasal Blockage)Blockage)
ACUTE SINUSITIS ACUTE SINUSITIS SUPERIMPOSED TO SUPERIMPOSED TO CHRONIC SINUSITISCHRONIC SINUSITIS
______ NEW RESPIRATORY NEW RESPIRATORY SYMPTOMS IN PATIENT WITH SYMPTOMS IN PATIENT WITH
RESIDUAL RESPIRATORY RESIDUAL RESPIRATORY SYMPTOMSSYMPTOMS
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• History of URI or allergic rhinitis• History of pressure change• Pressure, pain, or tenderness over sinuses• Low-grade temperature• Persistent nasal discharge, often purulent• Postnasal drip• Cough, worsens at night• Mouth breathing, snoring• History of previous episodes of sinusitis• Sore throat, bad breath• Headache
Subjective Symptoms of Sinusitis
•Periorbital edema•Nasal mucosa is reddened or swollen•Percussion or palpation tenderness over a sinus•Nasal discharge, thick, yellow or green•Postnasal discharge in posterior pharynx•Swelling of turbinate
Clinical presentation of sinusitis