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