20 min listen
Episode 90.0 – Acute Rhinosinusitis
Episode 90.0 – Acute Rhinosinusitis
ratings:
Length:
20 minutes
Released:
Mar 27, 2017
Format:
Podcast episode
Description
This week we dive into acute rhinosinusitis focusing on diagnosis and discussing the absence of utility for antibiotics in most patients.
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Tags: ENT, Rhinosinusitis, Sinusitis, URI
Show Notes
Take Home Points
Sinusitis is a clinical diagnosis. Patients typically present with purulent nasal discharge and facial pain or other URI symptoms.
The vast majority of patients with acute rhino sinusitis will be viral in nature and will not benefit from antibiotics
Patients with prolonged symptoms, more than 7-10 days, without improvement or continued fevers past 2-3 days should be considered for antibiotic treatment as should those who are immunocompromised.
Show Notes
Melio FR, Berge LR. Upper Respiratory Tract Infections, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 75: p 965-79.
The NNT: Antibiotics for Clinically Diagnosed Acute Sinusitis in Adults
The NNT: Antibiotics for Radiologically-Diagnosed Acute Maxillary Sinusitis
Released:
Mar 27, 2017
Format:
Podcast episode
Titles in the series (100)
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