RT Book, Section A1 Usatine, Richard P. A1 Smith, Mindy A. A1 Chumley, Heidi S. A1 Mayeaux, E.J. SR Print(0) ID 57672220 T1 Chapter 31. Sinusitis T2 The Color Atlas of Family Medicine, 2e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176964-8 LK accessmedicine.mhmedical.com/content.aspx?aid=57672220 RD 2024/03/28 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.