Nose Disorders EXAM WITH ANWERS [100% PASS]

Nose Disorders EXAM WITH ANWERS [100% PASS] Exam of turbinates in chronic nonallergic rhinitis (chronic nasal congestion) vs. allergic rhinitis *Ans* mucosa of turbinates more erythematous in patients with chronic nasal congestion compared with the pale bluish hue or pallor seen in patients with allergic rhinitis. p. 365 atrophic rhinitis *Ans* characterized by atrophic and sclerotic mucous membrane, abnormal patency of the nasal cavities, crust formation, and foul odor. Two types of nose bleeds *Ans* 1. Anterior nasal septum- from Kiesselbach's plexus. associated with irritated mucous membranes or trauma. most common. This plexus is particularly vulnerable and easily injured. 2. Posterior septum bleed- within the posterior branches of the sphenopalatine artery. Idiopathic or associated with vascular disease, and can be difficult to control. Immediate emergency department or neurologic referral is indicated for nasal trauma associated with what? *Ans* leaking CSF, a suspected dural tear, or airway compromise Classic signs and symptoms of nasal trauma *Ans* tenderness, crepitation, or movement of nasal bones on palpation of the nose. Septal hematoma. With seasonal or recurrent sneezing, disturbances of taste or smell, nasal congestion, dry mouth, postnasal drainage, and fatigue suspect what? *Ans* allergic rhinitis Exam of patient with allergic rhinitis may find... *Ans* pale nasal mucosa, swollen turbinates w/bleeding, mucus, crusting, and other signs of inflammation; enlarged tonsils; postnasal drip; "allergic salute" crease across the nose; and conjunctival irritation. immunotherapy *Ans* a long-term treatment of allergic rhinitis. May be effective if occupational exposures cannot be avoided and is generally considered if symptoms are present for more than 6 months, if symptoms are not relieved by environmental control and pharmacologic agents and if the cost of immunotherapy is less than that of pharmacologic therapy. injections are given every week in progressively increasing doses until a maintenance dose is achieved; after that injections given monthly. Not recommended for patent's receiving beta blocker therapy. Can have a generalized or systemic reaction. Wait in office for 30 mins and carry epi pen