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Sinusitis (management chronic (reassure pt may last months but not usually…
Sinusitis
management chronic
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manage associated disorder eg. asthma, allergic rhinitis, dental infection
practice good hygiene, stop smoking, avoid underwater diving
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analgesia, warm face packs, consider short course abx
management acute
manage symptoms - pain relief, intranasal corticosteroids for those with symptoms longer than 10 days for >12 yo
average illness duration 2.5 weeks and viral cause, reassure pt
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when to admit
orbital involvement - periorbital cellulitis, a displaced globe, double vision, ophthalmoplegia, reduced visual acuity
intracranial involvement - indicated by severe frontal headache, swelling over the frontal bone, symptoms meningitis, focal neurological signs
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