Rhinosinusitis physical examination: Difference between revisions
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*[[Pain]] and [[tenderness]] on [[palpation]] of the involved [[sinus]]: [[forehead]] ([[frontal sinuses]]), [[upper jaw]] (maxillary sinuses), in the eyelids and around the eyes ([[ethmoid]] sinuses) | *[[Pain]] and [[tenderness]] on [[palpation]] of the involved [[sinus]]: [[forehead]] ([[frontal sinuses]]), [[upper jaw]] (maxillary sinuses), in the eyelids and around the eyes ([[ethmoid]] sinuses) | ||
*[[Purulent]] [[rhinorrhea]] in the nose or [[posterior]] [[pharynx]] | *[[Purulent]] [[rhinorrhea]] in the nose or [[posterior]] [[pharynx]] | ||
*Examination of the nose using a speculum or otoscope may reveal the following findings: | *Examination of the nose using a [[speculum]] or [[otoscope]] may reveal the following findings: | ||
**Purulent [[nasal discharge]] | **Purulent [[nasal discharge]] | ||
**Mucosal [[edema]] | **[[Mucosal]] [[edema]] | ||
**Narrowing of the [[middle meatus]] | **Narrowing of the [[middle meatus]] | ||
**Inferior turbinate hypertrophy | **Inferior turbinate hypertrophy | ||
Revision as of 19:15, 27 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
Examination of the nose with a speculum or otoscope may reveal mucosal edema, narrowing of the middle meatus, purulent rhinorrhea, and other findings.
Physical Examination
Common physical examination findings in rhinosinusitis include:[1]
- Pain and tenderness on palpation of the involved sinus: forehead (frontal sinuses), upper jaw (maxillary sinuses), in the eyelids and around the eyes (ethmoid sinuses)
- Purulent rhinorrhea in the nose or posterior pharynx
- Examination of the nose using a speculum or otoscope may reveal the following findings:
- Purulent nasal discharge
- Mucosal edema
- Narrowing of the middle meatus
- Inferior turbinate hypertrophy
- Deviated nasal septum
- Nasal polyps
References
- ↑ Rosenfeld RM (2016). "CLINICAL PRACTICE. Acute Sinusitis in Adults". N. Engl. J. Med. 375 (10): 962–70. doi:10.1056/NEJMcp1601749. PMID 27602668.