{"id":1632,"date":"2017-08-02T07:36:57","date_gmt":"2017-08-02T07:36:54","guid":{"rendered":"http:\/\/papergp.com\/index.php\/ent\/rhinosinusitis\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"rhinosinusitis","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/ent\/rhinosinusitis\/","title":{"rendered":"Sinusitis"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Aetiology<\/strong><\/h4>\n<ul>\n<li>Infection<\/li>\n<li>Allergy<\/li>\n<li>Chronic congestion<\/li>\n<\/ul>\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>History\n<ul>\n<li>Fevers<\/li>\n<li>Purulent unilateral nasal discharge<\/li>\n<li>Facial fullness<\/li>\n<li>Facial pain<\/li>\n<li>Nausea, vomiting<\/li>\n<li>Myalgia<\/li>\n<li>Watering eyes<\/li>\n<li>Smell disturbance<\/li>\n<li>Previous treatments<\/li>\n<\/ul>\n<\/li>\n<li>Examine\n<ul>\n<li>Temp | HR<\/li>\n<li>Nose &#8211; anterior rhinoscopy (using otoscope)\n<ul>\n<li>nasal polyps, mucosal swelling, septal changes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Treatment\n<ul>\n<li>Mild\n<ul>\n<li>paracetamol, saline nasal irrigation, warm face pads, fluids, rest<\/li>\n<\/ul>\n<\/li>\n<li>Moderate\n<ul>\n<li>intranasal steroids for up to 3 months<\/li>\n<\/ul>\n<\/li>\n<li>Severe\u00a0(discoloured discharge, severe local pain, fever, worse after initial recovery)\n<ul>\n<li>Intranasal steroids<\/li>\n<li><a href=\"https:\/\/www.nice.org.uk\/Media\/Default\/About\/what-we-do\/NICE-guidance\/antimicrobial%20guidance\/summary-antimicrobial-prescribing-guidance.pdf\">Antibiotics<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Chronic\n<ul>\n<li>Nasal saline<\/li>\n<li>Intranasal steroids (consider PO prednisolone 30mg for 7 days if polyps present)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net<\/li>\n<\/ul>\n<h4><strong>Intranasal steroids<\/strong><\/h4>\n<ul>\n<li>1st line\n<ul>\n<li>Beclometasone dipropionate 50mcg nasal spray\n<ul>\n<li>2 sprays each nostril BD<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>2nd line\n<ul>\n<li>Mometasone furoate 50mcg nasal spray\n<ul>\n<li>2 sprays each nostril OD<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>3rd line\n<ul>\n<li>Fluticasone furoate (Avamys)\n<ul>\n<li>2 sprays each nostril OD<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><em>NB: important to emphasise technique and duration of treatment<\/em><\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Aetiology Infection Allergy Chronic congestion Data gathering History Fevers Purulent unilateral nasal discharge Facial fullness Facial pain Nausea, vomiting Myalgia Watering eyes Smell disturbance Previous treatments Examine Temp | HR Nose &#8211; anterior rhinoscopy (using otoscope) nasal polyps, mucosal swelling, septal changes Clinical management Treatment Mild paracetamol, saline nasal irrigation, warm face pads, fluids, rest &hellip; <a href=\"https:\/\/papergp.com\/index.php\/ent\/rhinosinusitis\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Sinusitis<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":346,"menu_order":137,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1632","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1632","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1632"}],"version-history":[{"count":10,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1632\/revisions"}],"predecessor-version":[{"id":2379,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1632\/revisions\/2379"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/346"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1632"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}