Upgrade to remove ads
Only $35.99/year

Disorders of the Nasal Cavity

Terms in this set (29)

infection
What general condition is associated with red, edematous turbinates, and purulence?
Samter's triad (asthma, aspirin, polyps)
What is the chronic medical condition that consists of asthma, recurrent sinus disease, and sensitivity to ASA and NSAIDs?
nasal polyps
Patient presents with the following symptoms. What is the first diagnosis on your list of differentials?
Nasal obstruction
Thick, discolored nasal drainage
Facial pain
Post-nasal drip
Nasal voice
Nasal congestion
Anosmia
nasal polyps
What do we call these structures?
Smooth, translucent, glossy lesions sometimes hanging from a narrow stalk
Soft, mobile, and nontender to palpation
Vary in size Frequently multiple, bilateral
use right hand to spray in left nostril and vice versa
what technique can you recommend to patients using nasal steroids to prevent nose bleeds?
Treat the allergy, intranasal saline, systemic and nasal steroids, surgery
what are the treatments for nasal polyps?
Wegener's granulomatosis (Granulomatosis with polyangiitis (GPA))
What condition is associated with a saddle deformity?
batteries and magnets
What nasal foreign bodies must be removed
immediately?
Olfaction (CN I), humidification, protection, speech, respiration
what are the functions of the nose?
CN V (trigeminal)
what CN is responsible for sneezing?
allergies
what general condition would result in bluish gray or pale pink turbinates with boggy, edematous consistency, polyps?
Wegener's granulomatosis (Granulomatosis with polyangiitis (GPA))
what condition is this?
Chronic or recurrent sinusitis
Nasal crusting/Epistaxis
Otalgia/Otorrhea
Persistent rhinorrhea
Purulent/bloody nasal discharge
Oral and/or nasal ulcers
Wegener's granulomatosis (Granulomatosis with polyangiitis (GPA))
What condition is this?
Idiopathic vasculitis of medium and small vessels characterized by necrotizing granulomatous inflammation
Starts as limited disease of the upper respiratory tract and can lead to pulmonary, renal and disseminated vasculitis
Caucasians, 6th-7th decade, M=F
Sinonasal symptoms: Chronic or recurrent sinusitis
trauma, infection, autoimmune diseases (GPA), neoplastic, chronic use of nasal steroids and decongestants, cocaine abuse
what are the common causes of nasal septal perforation? list the most common cause first
Low dose systemic steroids (Prednisone), topical nasal steroids, saline irrigations, +/- Anti-staph antibiotics, surgical repair of saddle nose deformity
what are the treatments for Wegener's granulomatosis (Granulomatosis with polyangiitis (GPA))?
nasal septal perforation
nasal drainage with crusting, bleeding, and whistling when the patient breathes are all signs of what condition?
Humidification, nasal lubrication, septal button over the perforation, surgical repair
what are the treatments for nasal septal perforation?
nasal septal perforation
what is this condition called?
deviated nasal septum
What condition has the following symptoms?
Obstruction
Frequent sinus infections
Epistaxis
Mouth breathing
Snoring/sleep apnea
Change in voice
Decreased sense of smell and taste
none if asymptomatic, treat sinusitis if needed
surgery if severe
what are the treatments for deviated nasal septum?
deviated nasal septum
what condition is this?
foreign body
What condition should you suspect in a small child with purulent, foul smelling, UNILATERAL nasal discharge and/or frequent sinusitis/URI that does not clear with antibiotics or symptomatic medications
when patient is choking, wheezing, or has difficulty talking or breathing
what does a nasal foreign body case become an emergency
check other ears and nostrils
if a child comes in with a foreign body, what should you do before letting them leave?
patient occludes unobstructed nostril and blows their nose, "parent kiss"
what can people try at home to remove foreign bodies?
nasal decongestant and local anesthetic
what should be done before trying to remove a foreign body via direct instrumentation techniques (excluding button batteries)?
aspirin allergy
asthma
nasal polyps
what is samters triad
nasal steroids
what do nasal polyps respond well to
test for cystic fibrosis
sweat chloride test
what should you test someone for if they are older than 16 and have unilateral polyposis
Students also viewed