Sinusitis: Difference between revisions
imported>Robert Badgett (New page: '''Sinusitis''' is defined as "an inflammatory process of the mucous membranes of the paranasal sinuses that occurs in three stages: acute, subacute, and chronic. Sinusitis results from an...) |
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==Diagnosis== | ==Diagnosis== | ||
===History and physical examination=== | ===History and physical examination=== | ||
A [[systematic review]] by the [http://www.sgim.org/clinexam-rce.cfm Rational Clinical Examination] has reviewed the best findings.<ref name="pmid8355389">{{cite journal |author=Williams JW, Simel DL |title=Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination |journal=JAMA |volume=270 |issue=10 |pages=1242–6 |year=1993 |pmid=8355389 |doi=}} [http://gateway.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8355389.ui OVID]</ref> | A [[systematic review]] by the [http://www.sgim.org/clinexam-rce.cfm Rational Clinical Examination] has reviewed the best findings.<ref name="pmid8355389">{{cite journal |author=Williams JW, Simel DL |title=Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination |journal=JAMA |volume=270 |issue=10 |pages=1242–6 |year=1993 |pmid=8355389 |doi=}} [http://gateway.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8355389.ui OVID]</ref> More recently reported is that a "red streak in the lateral recess of the oropharynx predicts acutesinusitis." ([http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1831603&rendertype=figure&id=fig01 picture])<ref name="pmid16918746">{{cite journal |author=Thomas C, Aizin V |title=Brief report: a red streak in the lateral recess of the oropharynx predicts acute sinusitis |journal=J Gen Intern Med |volume=21 |issue=9 |pages=986–8 |year=2006 |pmid=16918746 |doi=10.1111/j.1525-1497.2006.00498.x}}</ref> | ||
===CT Scan=== | ===CT Scan=== | ||
Revision as of 00:33, 5 December 2007
Sinusitis is defined as "an inflammatory process of the mucous membranes of the paranasal sinuses that occurs in three stages: acute, subacute, and chronic. Sinusitis results from any condition causing ostial obstruction or from pathophysiologic changes in the mucociliary transport mechanism."[1]
Etiology/causes
Microbiology
Diagnosis
History and physical examination
A systematic review by the Rational Clinical Examination has reviewed the best findings.[2] More recently reported is that a "red streak in the lateral recess of the oropharynx predicts acutesinusitis." (picture)[3]
CT Scan
Interpreting abnormal CT scan results is difficult because most patients with a common cold will have abnormalities of the maxillary sinuses.[4]
Treatment
Topical antibiotics do not seem to help.[5]
Topical corticosteroids do not seem to help.[5]
References
- ↑ National Library of Medicine. Sinusitis. Retrieved on 2007-12-04.
- ↑ Williams JW, Simel DL (1993). "Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination". JAMA 270 (10): 1242–6. PMID 8355389. [e] OVID
- ↑ Thomas C, Aizin V (2006). "Brief report: a red streak in the lateral recess of the oropharynx predicts acute sinusitis". J Gen Intern Med 21 (9): 986–8. DOI:10.1111/j.1525-1497.2006.00498.x. PMID 16918746. Research Blogging.
- ↑ Gwaltney JM, Phillips CD, Miller RD, Riker DK (1994). "Computed tomographic study of the common cold". N. Engl. J. Med. 330 (1): 25–30. PMID 8259141. [e]
- ↑ 5.0 5.1 Ian G. Williamson et al., “Antibiotics and Topical Nasal Steroid for Treatment of Acute Maxillary Sinusitis: A Randomized Controlled Trial,” JAMA 298, no. 21 (December 5, 2007), http://jama.ama-assn.org/cgi/content/abstract/298/21/2487 (accessed December 5, 2007).