Allergic Rhinitis/Sinusitis RECS Learning Module

Objectives

1. Recognize the common characteristics of allergic rhinitis and manage appropriately
2. Know that allergic rhinitis is a risk factor associated with otitis media and sinusitis
3. Know that perennial allergic rhinitis is usually caused by indoor allergens such as dust mites and animal danders
4. Differentiate the historical and clinical findings of allergic rhinitis from those of nonallergic rhinitis
5. Understand the natural history of sinusitis
6. Know the microbiology of acute maxillary sinusitis and treatment options of choice
7. Understand the criteria for diagnosing sinusitis
8.  Know that orally administered decongestants and antihistamines are of unproven benefit in the treatment of acute sinusitis
9.  Know that it is no longer recommended to perform imaging for uncomplicated episodes of clinical sinusitis (but do a contrast-enhanced CT of the sinuses or MRI with contrast if orbital/CNS complications are suspected)
10.  Recognize possible complications associated with acute sinusitis

Articles/Resources

Stuffy Nose - Peds In Review  

Acute Bacterial Sinusitis in Children - Peds In Review  

Acute Bacterial Sinusitis in Children - Pediatrics (Clinical Practice Guidelines) 

Self-quiz:

1. What are some symptoms that patients with allergic rhinitis may experience?
2. What are some common physical exam findings?
3. What are some findings that help differentiate allergic from nonallergic rhinitis?
4. What are some treatment options for allergic rhinitis? (Review the cost also)
5. What are some criteria which can help differentiate sinusitis from uncomplicated viral upper respiratory infections?
6. What are treatment options (medication) for sinusitis?
7. What are potential complications of sinusitis that should be monitored for?
8. How do you define chronic sinusitis? What patients are at increased risk of chronic sinusitis?

Reviewed 5/2017