NOSE

Question 1

What is a common cause of acute sinusitis?

Answer 1

• A viral infection

Question 2

Although acute sinusitis is virally caused, what can be it be complicated by?

Answer 2

Bacterial infection caused by:
- Streptococcus pneumoniae
- Haemphylus influenzae
- Moraxella catharrhailis
- Staphylococcus aureus

Question 3

What is the first line in non-penicillin allergic patients?

Answer 3

1. Phenoxymethylpenicillin

Question 4

What if patients start to feel systemically very unwell or shows more serious illness or at high risk of complications?

Answer 4

• Co-Amoxiclav

Question 5

What is the first line treatment in penicillin allergic/intolerant patients?

Answer 5

1. Doxycycline or
   Clarithromycin
   - If women is pregnant, Erythromycin