A4: Bacterial versus Viral Rhinosinusitits (RS)

The correct answers for question no. 4 are:

• In viral rhinosinusitis; symptoms last 7 – 10 days and not worsening.  (True)
• In acute bacterial RS; symptoms ≥ 7 days; include: maxillary facial/tooth pain (especially unilateral) with deterioration 10 days after initial improvement.  (True)
• Yellow or green colored nasal discharge means bacterial but not viral rhinosinusitis.  (False)

Explanation:

Bacterial versus Viral Rhinosinusitis

References as numbered in the image:
(1) "Adult Appropriate Antibiotic Use Summary: Physician Information Sheet
(Adults)." Centers for Disease Control and Prevention. N.p., 01 Sep 2010.
Web. 17 Nov 2011.
(5) Fauci, Anthony S., First , Eugene Braunwald, et al. "Otitis Media." 
Harrison's Practice Answers on Demand. McGraw-Hill Companies, 2007.
(8) Fauci, Anthony S., First , Eugene Braunwald, et al. "Sinusitis." 
Harrison's Practice Answers on Demand. McGraw-Hill Companies, 2007.
(12) "Clinical Practice Guideline for Sinusitis Treatment (Rhinosinusitis)." 
Medical Associates. Medical Associates, Feb 2011. Web. 24 Nov 2011.
<http://www.mahealthcare.com>.
(13) EXECUTIVE SUMMARY - Clinical practice guideline on adult sinusitis -
Richard M. Rosenfeld, MD, MPH, Brooklyn, NY.

This image is part of (Upper Respiratory Tract Infections Concept Map).

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