Sinusitis

Question 1

What is acute sinusitis?

Answer 1

Infection of >/= 1 paranasal sinus

Question 2

Which sinus is most commonly affected by sinusitis?

Answer 2

Maxillary

Question 3

What are risk factors for acute sinusitis?

Answer 3

URTI - viral
Tooth infection
Allergic rhinitis

Question 4

How does acute sinusitis present?

Answer 4

Frontal headache / facial pain
Pain worse on bending forward
+/- purulent nasal discharge
+/- fever

Question 5

How is acute sinusitis managed conservatively?

Answer 5

Most resolve in 7-10 days

Analgesia + fluids
Steam inhalation

Question 6

How is acute sinusitis managed medically?

Answer 6

Steroid nasal spray

Abx

Question 7

Who gets antibiotics in acute sinusitis?

Answer 7

Frontal sinusitis
Severe symptoms
Symptoms lasting >2.5 weeks
Risk of serious complications

Question 8

What is chronic sinusitis?

Answer 8

> 3 months of symptoms

OR

> 3 episodes in one year

Question 9

How does chronic sinusitis present?

Answer 9

Post nasal drip
Frontal headache / facial pain
Blocked nose

Question 10

How is chronic sinusitis managed?

Answer 10

Same as acute

• analgesia + fluids
• intranasal steroids
• antibiotics

Question 11

What is chronic sinusitis associated with?

Answer 11

Nasal polyps

Vasomotor rhinitis

Question 12

Is acute sinusitis more commonly bacterial or viral?

Answer 12

Viral

Question 13

How long do acute viral sinusitis symptoms last?

Answer 13

<10 days

Question 14

How long do acute bacterial sinusitis symptoms last?

Answer 14

> 10 days but <40 days