121. Sinusitis-CF News However, acute and chronic sinusitis is a common complication of CF that can cause The true incidence of sinusitis in CF is not known, but the great http://cfcenter.stanford.edu/CFNews-Sinusitis.html

Sinusitis Main Page Sinusitis and Cystic Fibrosis by Noreen Henig, MD Introduction Anatomically, the lungs can be thought of as the "lower respiratory tract" while the nares and sinuses can be thought of as the "upper respiratory tract." By evaluating the respiratory tract as one continuous structure, it becomes easier to understand the underlying pathophysiology and treatment of sinus disease in CF. The Sinuses in Cystic Fibrosis The true incidence of sinusitis in CF is not known, but the great majority of patients with CF develop sinus symptoms, usually between the ages of 5 and 14 years. Symptoms of sinus disease include: nasal obstruction chronic congestion or discharge headaches post-nasal drip with morning cough cough that is aggravated by lying down severe bad breath Adolescents and adults are more likely than children to report headaches, and headaches are often unresponsive to typical headache remedies. Acute sinusitis is the term applied when symptoms become severe, but in reality, patients with cystic fibrosis always have chronic sinusitis. Figure 2: Since sinusitis is characterized by infection, it is easy to predict that the infections found in CF related sinusitis are distinct from the bacterial infections found in non-CF sinusitis. Just as in lung infections in CF, the most common agents of sinusitis in CF are:

122. SINUSITIS Sinuses are air chambers in the facial bone behind our cheeks, eyebrows and jaws. http://medindia.net/patients/patientinfo/sinusitis.asp

Bookmark This Page About Us Contact Us Feedback ... Log In September 25, 2005 Home Directories Professionals Consumer Health ... My Health Record Search Web Medindia.com Medindia Advanced Search P owered By G o o g l e Medindia Disease/Health Information SINUSITIS SINUSITIS Disease info Related Topics Medical Acronyms Amazing Body Facts Phobias Medical Syndromes ... Teeth Chart Interactives (Flash) Brain Depression Eye Donation Brain Death Angioplasty ... Glossary General Info about Sinusitis Sinuses are air chambers in the facial bone behind our cheeks, eyebrows and jaws. Each sinus has an opening into the nose for the free exchange of air and mucus, and each is joined with the nasal passages by a continuous sheet of thin membrane lining it and is kept moist by secretion called mucus. The sinuses function to lighten the skull and improve the quality of the voice. Sinusitis is an inflammation of the mucous membrane that line the sinus cavities. Sinusitis is one of the most common medical problems affecting approximately 30% of the population at some point. Acute sinusitis commonly follows a cold and typically lasts for up to three weeks. If it continues to trouble an individual after three weeks it becomes defined as a chronic sinusitis. What are the causes of Sinusitis ?

123. Acute Sinusitis (Mar.1997) Acute sinusitis is defined as disease lasting less than one month. Chronicsinusitis usually results from acute sinusitis that has been inadequately http://www.utmb.edu/otoref/Grnds/Sinusitis-acute-9703/sinus-acute-9703.htm

TITLE: Acute Sinusitis SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: March 19, 1997 RESIDENT PHYSICIAN: , Michael E. Prater, M.D. FACULTY: Francis B. Quinn, Jr., M.D. SERIES EDITOR: Francis B. Quinn, Jr., M.D. Return to Grand Rounds Index "This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and should not be used for purposes of diagnosis or treatment without consulting appropriate literature sources and informed professional opinion." ANATOMY: There are eight paranasal sinuses, four on each side of the midline. They are the paired frontal, ethmoidal (anterior and posterior), maxillary and sphenoidal sinuses. They are lined with a pseudostratisfied columnar (respiratory) epithelium which is continuous with the nasal mucosa. The lining provides a mucous secretion which traps bacteria and subsequently extrudes the mucous and bacteria through the sinus ostia to be swallowed or expectorated. Under normal conditions, the sinuses are air filled and communicate directly with the nasal passages through patent ostia.

124. Postgraduate Medicine: Acute Sinusitis Acute sinusitis (more accurately termed acute rhinosinusitis) is one of the 10 most Acute sinusitis may last as long as 4 weeks. Recurrent sinusitis is http://www.postgradmed.com/issues/2004/01_04/leggett.htm

PROBLEM INFECTIONS IN PRIMARY CARE Acute sinusitis Whenand when notto prescribe antibiotics James E. Leggett, MD VOL 115 / NO 1 / JANUARY 2004 / POSTGRADUATE MEDICINE CME learning objectives To recognize the major causes of acute sinusitis To understand the inherent difficulties in diagnosis of acute sinusitis To review appropriate management of uncomplicated acute sinusitis The author discloses no financial interests in this article. He discloses an unlabeled use of azithromycin and clarithromycin. Preview : Winter is typically a time when patients flock to their primary care physician seeking an antibiotic for a suspected sinus infection. But is antibiotic treatment appropriate in all cases? In this article, Dr Leggett examines available study data regarding the reliability of diagnostic predictors of acute sinusitis and the value of antimicrobial therapy on patient outcomes. He also offers an appropriate approach to treatment of sinusitis based on duration and severity of symptoms. Leggett JE. Acute sinusitis: whenand when notto prescribe antibiotics. Postgrad Med 2004;115(1):13-9 A cute sinusitis (more accurately termed acute rhinosinusitis ) is one of the 10 most common diagnoses in ambulatory practice (1-3). Each year in the United States, sinusitis is diagnosed in one in six adults, and the actual incidence may be even higher, because up to 20% of affected persons may not seek medical care (1). The incidence appears to be highest in the Midwest and the South, and it peaks in the fall, winter, and spring (1).

125. NEJM -- Tsunami Sinusitis Images in Clinical Medicine from The New England Journal of Medicine Tsunamisinusitis. http://content.nejm.org/cgi/content/full/352/25/e23

// var NTPT_PGEXTRA = ''; // var NTPT_PGREFTOP = false; // var NTPT_NOINITIALTAG = false; HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Volume 352:e23 June 23, 2005 Number 25 Tsunami Sinusitis PDF Supplementary Material Add to Personal Archive Add to Citation Manager ... PubMed Citation View larger version [in this window] [in a new window] A 35-year-old man was brought to the hospital after sustaining injuries associated with the tsunami in Southeast Asia on December 26, 2004. The patient had inhaled seawater when he nearly drowned. In addition, he had sustained multiple injuries, including a scalp laceration and torn right anterior cruciate and medial collateral ligaments. He had sinus discomfort but no difficulty breathing. Computed tomographic scanning showed fluid and opaque material in the ethmoid (Panel A, arrowhead), maxillary (Panel B, arrowhead), and sphenoid sinuses (Panel C, arrowhead). (For comparison, normally aerated sinuses from another patient can be seen in the Supplementary Appendix , available with the full text of this article at www.nejm.org.) The patient underwent bilateral antral washout, during which green-colored purulent material and sand were removed. Culture of material obtained from the maxillary sinuses showed

126. Preloading - QuickCare http://www.quickcare.org/new/sinus/sinus1_preload.html

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