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Teaching Curriculum: Rhinitis

Priorities:
Pediatrics 1, Internal Medicine 1
Family Practice 1, Student 1

OBJECTIVES
Upon completion of this rotation, the rotator should be able to:

  1. Classify rhinitis in the categories of seasonal allergic rhinitis, perennial allergic rhinitis, perennial nonallergic rhinitis, (vasomotor/chronic) rhinitis, and other causes
  2. Describe the signs and symptoms of allergic rhinitis and contrast them with those of vasomotor/chronic rhinitis
  3. Summarize the natural history of allergic rhinitis and contrast it with that of vasomotor/chronic rhinitis
  4. Explain the pathophysiology of allergic rhinitis
  5. Identify precipitating factors for rhinitis
    1. outdoor allergens (with knowledge of seasons, trees, grasses, weeds, and molds)
    2. indoor allergens (dust mites, animal dander, cockroach feces, etc.)
    3. irritants
    4. physical factors
    5. endocrine factors
    6. other causes (infections, cff leak, etc.)
  6. Explain the roles of nasal smears and skin testing in the differential diagnosis of rhinitis
  7. Describe methods to manage allergic rhinitis,
    1. environmental control: home, school, work
    2. antihistamines (oral, topical) including contraindications, (e.g.,benign prostatic hypertrophy) and use in patients with concomitant asthma
    3. decongestants
    4. sympathomimetics (oral, topical)
    5. cromolyn sodium and nedocrommil
    6. topical steroids
    7. immunotherapy
  8. List the complications of untreated allergic rhinitis (including sinusitis, orthodontic problems, otitis media)
  9. Describe quality of life issues in patients with allergic rhinitis
  10. Discuss allergic conjunctivitis including differential diagnosis and treatment
  11. Describe indications for referral to an allergy/immunologist.

Table of Contents | Next (Pregnant Patients with Asthma and/or Allergic Rhinitis) »

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