TY  - CHAP
M1  - Book, Section
TI  - Chapter 31. Sinusitis
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  55-year-old  woman  complains  of  sinus  pressure  for  the  past  2  weeks  along  with  headache,  rhinorrhea,  postnasal  drip,  and  cough.  This  all  started  with  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  is  prescribed  an  antibiotic.  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  31-1  and  31-2.)  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  ENT  for  further  evaluation.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57672220
ER  -