● Acute sinusitis: symptoms for < 4 weeks duration
● Chronic sinusitis: symptoms for > 12 consecutive weeks
● The disease is subacute when symptomatic for 4-12 weeks

● Acute sinusitis: symptoms for < 4 weeks duration ________

Don't study harder, study Smarter! Follow along with the Exact NCCPA PANCE, PANRE and PAEA EOR topic lists through our highly focused NCCPA/PAEA Content Blueprint board review.

Acute and chronic sinusitis (Smarty PANCE)

● Acute sinusitis: symptoms for &lt; 4 weeks duration
● Chronic sinusitis: symptoms for &gt; 12 consecutive weeks
● The disease is subacute when symptomatic for 4-12 weeks

- Headache
- Purulent sputum
- Fever
- Malaise
- Tenderness to palpation over sinus(es)
- Opacification w/ transillumination

Limited coronal CT scan can be useful in recurrent infection or failure to respond to medical therapy. Plainview X-ray (waters view) has fallen out of favor due to poor sensitivity

&gt; 10 -14 days or severely ill. Antibiotics can shorten time to cure but only in 5 to 11 people per 100 and most improve without antimicrobial therapy.

When to give antibiotics for acute sinusitis?

The first-line antibiotic is amoxicillin/clavulanate, with doxycycline or respiratory fluoroquinolones as alternatives. Treat for 5 to 7 days in adults if uncomplicated bacterial rhinosinusitis (IDSA low-moderate-quality evidence). Treat for 10 to 14 days in children if uncomplicated bacterial rhinosinusitis (IDSA low-moderate-quality evidence).

First line antibiotics for acute sinusitis?

Second-line therapy (for those who fail to improve within 7 days) includes high-dose Augmentin (2 g BID x 7 days), Moxifloxacin, Levofloxacin, or a third-generation cephalosporin plus clindamycin.

Second-line therapy for acute sinusitis (for those who fail to improve within 7 days)?

Chronic rhinosinusitis (CRS) lasts 12 weeks or longer, despite attempts at medical management. Therapy is typically given for at least three weeks and may be extended for up to ten weeks in refractory cases. Augmentin or clindamycin are reasonable treatment options

Treatment of chronic rhinosinusitis (CRS)?

PANCE Blueprint EENT => Nose and Sinus Disorders => Acute and chronic sinusitis (https://smartypance.com/lessons/nose-sinus-disorders/acute-chronic-sinusit…

Acute and chronic sinusitis (Smarty PANCE) Flashcards

PANCE Blueprint EENT => Nose and Sinus Disorders => Acute and chronic sinusitis (https://smartypance.com/lessons/nose-sinus-disorders/acute-chronic-sinusitis-reeldx300/)

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