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TYPE OF SINUSITIS

DURATION OF EACH EPISODE

SYMPTOMS IN BETWEEN EPISODES

ACUTE BACTERIAL ACUTE BACTERIAL SINUSITISSINUSITIS

< 30 DAYS< 30 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION

SUB-ACUTE SUB-ACUTE BACTERIAL SINUSITISBACTERIAL SINUSITIS

30- 90 DAYS30- 90 DAYS COMPLETE RESOLUTIONCOMPLETE RESOLUTION

RECURRENT ACUTE RECURRENT ACUTE BACTERIAL SINUSITISBACTERIAL SINUSITIS

EACH EPISODE <30 DAYSEACH EPISODE <30 DAYS @ INTERVAL OF 10 DAYS@ INTERVAL OF 10 DAYS

COMPLETE RESOLUTIONCOMPLETE RESOLUTION

CHRONIC SINUSITISCHRONIC SINUSITIS > 90 DAYS> 90 DAYS PERSISTENT RESIDUAL PERSISTENT RESIDUAL RESPIRATORY SYMPTOMS RESPIRATORY SYMPTOMS

(Cough, Rhinorrhea, Nasal (Cough, Rhinorrhea, Nasal Blockage)Blockage)

ACUTE SINUSITIS ACUTE SINUSITIS SUPERIMPOSED TO SUPERIMPOSED TO CHRONIC SINUSITISCHRONIC SINUSITIS

______ NEW RESPIRATORY NEW RESPIRATORY SYMPTOMS IN PATIENT WITH SYMPTOMS IN PATIENT WITH

RESIDUAL RESPIRATORY RESIDUAL RESPIRATORY SYMPTOMSSYMPTOMS

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• History of URI or allergic rhinitis• History of pressure change• Pressure, pain, or tenderness over sinuses• Low-grade temperature• Persistent nasal discharge, often purulent• Postnasal drip• Cough, worsens at night• Mouth breathing, snoring• History of previous episodes of sinusitis• Sore throat, bad breath• Headache

Subjective Symptoms of Sinusitis

•Periorbital edema•Nasal mucosa is reddened or swollen•Percussion or palpation tenderness over a sinus•Nasal discharge, thick, yellow or green•Postnasal discharge in posterior pharynx•Swelling of turbinate

Clinical presentation of sinusitis

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