| ID | 294 |
|---|---|
| Name | ACUTE SINUSITIS |
| Cause | Acute sinusitis is most often caused by the common cold. Signs and symptoms may include a blocked and stuffy (congested) nose, which may block your sinuses and prevent drainage of mucus. Acute sinusitis is an infection caused by a virus. The common cold is most often the cause |
| Signs Symptoms | Bad breath or loss of smell. Cough, often worse at night. Fatigue and general feeling of being ill. Fever. Headache. Pressure-like pain, pain behind the eyes, toothache, or tenderness of the face. Nasal stuffiness and discharge. Sore throat and postnasal drip. |
| Diagnosis | The exam might include feeling for tenderness in the nose and face and looking inside the nose. Other ways to diagnose acute sinusitis and rule out other conditions include: Nasal endoscopy. . Imaging studies. A CT scan can show details of the sinuses and nasal area. Nasal and sinus samples. Lab tests aren't often used to diagnose acute sinusitis. |
| Investigations | Nasal endoscopy. . Imaging studies. A CT scan can show details of the sinuses and nasal area. Nasal and sinus samples. Lab tests aren't often used to diagnose acute sinusitis. |
| Management | Management: 1. For infection- Inj. penicillin 5 lac i.m. 8 hourly for 5 days. Or, Amoxicillin 250mg 8 hourly for 7 days. 2. Symptomatic relief- a. Rest- diazepam 5mg at bedtime. b. Analgesics- paracetamol 500mg. Or, Aspirin 300mg 1 tab. thrice daily. c. Application of dry heat, d. Nasal decongestant (1% ephedrine in normal saline) e. Good diet, vitamins & proper mouth care. 3. Menthol or benzene inhalation is helpful. |
| Introduction | This is the acute inflammation of the mucosa of any or all of the paranasal sinuses. Inflammation may be suppurative or non-suppurative. |
| History | |
| Etiology | Etiology: 1. Secondary to bacterial infection. 2. Dental sepsis (Maxillary sinusitis). 3. Traumatic. 4. Swimming in dirty water. 5. Barrow trauma. Pre-disposing factors: 1. Nasal obstruction, FB, enlarged adenoid. 2. Low general health, chilling Fatigue. |
| Clinical Features | 1. History of cold, nasal obstruction, stabbing or aching pain over the infected sinus which is worse by bending or coughing, headache, sense of heaviness, rise of temp, malaise, tenderness over the frontal or the maxillary sinus etc. 2. Radiology of paranasal sinuses shows-haziness of the sinus, in case of empyema, fluid level can be seen. |
| Preventions | Clean your hands. Receive recommended vaccines, such as the flu vaccine and pneumococcal vaccine. Avoid close contact with people who have colds or other upper respiratory infections |
| Treatment | Saline nasal spray. Salt water sprayed into the nose many times a day rinses the inside of the nose. Nasal corticosteroids. These nasal sprays help prevent and treat swelling. ... Decongestants. These medicines are available with and without a prescription. ... Allergy medicines. ... Pain relievers. |
| Complications | Orbital involvement is the most common complication of sinusitis |
| Prognosis | |
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