Differentiating acute viral nasopharyngitis from other diseases: Difference between revisions
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* Diagnosis is usually clinical; lab tests are rarely needed. | * Diagnosis is usually clinical; lab tests are rarely needed. | ||
* The virus can be [[Culture medium|cultured]] on human lung cells, but it takes time. | * The virus can be [[Culture medium|cultured]] on human lung cells, but it takes time. | ||
* [[PCR]] is rapid and accurate, but done only when the infecting [[virus]] strain | * [[PCR]] is rapid and accurate, but done only when the infecting [[virus]] strain in [[immunocompromised]] patients needs to be known. | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Allergic rhinitis]]<ref name="pmid20232579">{{cite journal |vauthors=Pawankar R, Bunnag C, Chen Y, Fukuda T, Kim YY, Le LT, Huong le TT, O'Hehir RE, Ohta K, Vichyanond P, Wang DY, Zhong N, Khaltaev N, Bousquet J |title=Allergic rhinitis and its impact on asthma update (ARIA 2008)--western and Asian-Pacific perspective |journal=Asian Pac. J. Allergy Immunol. |volume=27 |issue=4 |pages=237–43 |year=2009 |pmid=20232579 |doi= |url=}}</ref> | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Allergic rhinitis]]<ref name="pmid20232579">{{cite journal |vauthors=Pawankar R, Bunnag C, Chen Y, Fukuda T, Kim YY, Le LT, Huong le TT, O'Hehir RE, Ohta K, Vichyanond P, Wang DY, Zhong N, Khaltaev N, Bousquet J |title=Allergic rhinitis and its impact on asthma update (ARIA 2008)--western and Asian-Pacific perspective |journal=Asian Pac. J. Allergy Immunol. |volume=27 |issue=4 |pages=237–43 |year=2009 |pmid=20232579 |doi= |url=}}</ref> | ||
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* [[Edema]] in the area below the eye, if associated [[conjunctivitis]] is present.<ref name="pmid11449200">{{cite journal |vauthors=Skoner DP |title=Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis |journal=J. Allergy Clin. Immunol. |volume=108 |issue=1 Suppl |pages=S2–8 |year=2001 |pmid=11449200 |doi= |url=}}</ref> | * [[Edema]] in the area below the eye, if associated [[conjunctivitis]] is present.<ref name="pmid11449200">{{cite journal |vauthors=Skoner DP |title=Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis |journal=J. Allergy Clin. Immunol. |volume=108 |issue=1 Suppl |pages=S2–8 |year=2001 |pmid=11449200 |doi= |url=}}</ref> | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Skin testing using intradermal skin prick tests to determine the specific [[allergens]] causing [[allergic rhinitis]] | * Skin testing using intradermal skin prick tests to determine the specific [[allergens]] causing [[allergic rhinitis]] | ||
* Serum immune assays to determine [[IgE|IgE levels]] in the [[serum]] | * Serum immune assays to determine [[IgE|IgE levels]] in the [[serum]] | ||
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Acute sinusitis]]<ref name="pmid9347786">{{cite journal |vauthors=Low DE, Desrosiers M, McSherry J, Garber G, Williams JW, Remy H, Fenton RS, Forte V, Balter M, Rotstein C, Craft C, Dubois J, Harding G, Schloss M, Miller M, McIvor RA, Davidson RJ |title=A practical guide for the diagnosis and treatment of acute sinusitis |journal=CMAJ |volume=156 Suppl 6 |issue= |pages=S1–14 |year=1997 |pmid=9347786 |doi= |url=}}</ref> | | style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" | [[Acute sinusitis]]<ref name="pmid9347786">{{cite journal |vauthors=Low DE, Desrosiers M, McSherry J, Garber G, Williams JW, Remy H, Fenton RS, Forte V, Balter M, Rotstein C, Craft C, Dubois J, Harding G, Schloss M, Miller M, McIvor RA, Davidson RJ |title=A practical guide for the diagnosis and treatment of acute sinusitis |journal=CMAJ |volume=156 Suppl 6 |issue= |pages=S1–14 |year=1997 |pmid=9347786 |doi= |url=}}</ref> | ||
Revision as of 19:30, 1 August 2017
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Acute viral nasopharyngitis Microchapters |
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Differentiating acute viral nasopharyngitis from other diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Acute viral nasopharyngitis should be differentiated from other diseases that cause runny nose, cough, and constitutional symptoms such as influenza, allergic rhinitis, and acute sinusitis.
Differentiating acute viral nasopharyngitis from other diseases
Acute viral nasopharyngitis should be differentiated from other diseases that cause runny nose, cough, and constitutional symptoms.
| Disease | History | Physical examination | Laboratory or radiological findings |
|---|---|---|---|
| Acute viral nasopharyngitis[1] |
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| Allergic rhinitis[2] |
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| Acute sinusitis[4] |
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| Infectious mononucleosis[6] |
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Differentiating Flu and Common Cold
| Symptoms | Flu | Common cold |
|---|---|---|
| Fever | High fever (100-102° F) | Rare |
| Headache | Common | Rare |
| Cough | Common,
moderate to severe |
Rare,
mild to moderate |
| Body aches | Common, may be severe | Slight |
| Fatigue | Usual, can last up to 2-3 weeks | Sometimes |
| Nasal congestion | Sometimes | Common |
| Sneezing | Sometimes | Common |
| Sore throat | Sometimes | Common |
| Adapted from the National Institute of Allergy and Infectious Diseases (NIAID) [7] | ||
References
- ↑ Heikkinen T, Järvinen A (2003). "The common cold". Lancet. 361 (9351): 51–9. doi:10.1016/S0140-6736(03)12162-9. PMID 12517470.
- ↑ Pawankar R, Bunnag C, Chen Y, Fukuda T, Kim YY, Le LT, Huong le TT, O'Hehir RE, Ohta K, Vichyanond P, Wang DY, Zhong N, Khaltaev N, Bousquet J (2009). "Allergic rhinitis and its impact on asthma update (ARIA 2008)--western and Asian-Pacific perspective". Asian Pac. J. Allergy Immunol. 27 (4): 237–43. PMID 20232579.
- ↑ Skoner DP (2001). "Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis". J. Allergy Clin. Immunol. 108 (1 Suppl): S2–8. PMID 11449200.
- ↑ Low DE, Desrosiers M, McSherry J, Garber G, Williams JW, Remy H, Fenton RS, Forte V, Balter M, Rotstein C, Craft C, Dubois J, Harding G, Schloss M, Miller M, McIvor RA, Davidson RJ (1997). "A practical guide for the diagnosis and treatment of acute sinusitis". CMAJ. 156 Suppl 6: S1–14. PMID 9347786.
- ↑ "Acute maxillary sinusitis". N. Engl. J. Med. 305 (4): 226–7. 1981. doi:10.1056/NEJM198107233050419. PMID 7242607.
- ↑ Niederman JC, McCollum RW, Henle G, Henle W (1968). "Infectious mononucleosis. Clinical manifestations in relation to EB virus antibodies". JAMA. 203 (3): 205–9. PMID 4864269.
- ↑ "National Institute of Allergy and Infectious Diseases (NIAID)- Flu (Influenza)".