TY - CHAP M1 - Book, Section TI - Sinusitis A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 55-year-old woman reports sinus pressure for the past 2 weeks along with headache, rhinorrhea, postnasal drip, and cough that followed a cold 3 weeks ago. She has chronic allergic rhinitis, but now the pressure on the right side of her face has become intense and her right upper molars are painful. The nasal discharge has become discolored and she feels feverish. She is diagnosed clinically with right maxillary sinusitis and elects antibiotic treatment with amoxicillin. Two weeks later when her symptoms have persisted, a CT is ordered and she is found to have air-fluid levels in both maxillary sinuses and loculated fluid on the right side (Figures 33-1 and 33-2). The antibiotic is changed to amoxicillin/clavulanate and she is given information about nasal saline irrigation for symptom relief. If the symptoms don't improve, the clinician plans to send her to ear, nose, and throat (ENT) for further evaluation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164344368 ER -