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Teaching Curriculum: Sinusitis
Priorities:
Pediatrics 1, Internal Medicine 1
Family Practice 1, Student 1
OBJECTIVES
Upon completion of this rotation, the rotator should be able to:
- Classify sinusitis based on duration of symptoms into (a) acute, (b) subacute, (c) chronic.
- Describe signs and symptoms of acute versus chronic sinusitis.
- Differentiate the microbiological causes of acute versus chronic sinusitis in children versus adults.
- Discuss the pathophysiology of sinus disease and how underlying factors can be contributory including (a) allergic rhinitis, (b) nasal polyposis, (c) anatomic/structural abnormalities, (d) viral URI.
- Discuss tests used in the diagnosis of sinusitis including nasal smear, nasal culture and sensitivity, plain sinus x-ray versus CT scan.
- Review paranasal sinus anatomy and development and discuss age limitations and the use of radiographic studies. Discuss age- and etiology-related limitations of radiographic studies.
- Discuss the radiographic findings of sinus x-ray/CT scan in patients with acute viral URI and allergic rhinitis versus sinusitis.
- Discuss the incidence of aspirin sensitivity in patients with sinusitis.
- Describe the different potential therapeutic modalities used in the treatment of sinusitis: (a) antibiotics, (b) decongestants (oral, topical), (c) antihistamines, (d) cortico-steroids, topical and systemic, (e) duration of therapy, (f) nasal saline.
- Discuss surgical therapy for sinusitis.
- Describe complications of sinusitis.
- Describe effects of sinusitis on asthma.
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