ENT, Nose

Oct 01, 2021 Issue
High-Dose Amoxicillin/Clavulanate No Better than Standard Dose for Acute Sinusitis in Adults [POEMs]

This study found no significant difference between the standard-dose and high-dose regimens of amoxicillin/clavulanate for treating acute sinusitis in adults. It is important to note that both doses are minimally superior to placebo.

Aug 15, 2018 Issue
Epistaxis: Outpatient Management [Article]

Most cases of epistaxis arise from the anterior nasal septum and can be treated in the outpatient setting. Stepwise management consists of compression, directive nasal cautery with silver nitrate, and nasal packing, if needed. Posterior epistaxis is more likely to require hospitalization and nasal packing. Endoscopic artery ligation may be the best initial treatment for posterior epistaxis.

Aug 1, 2018 Issue
Chronic Nonallergic Rhinitis [Article]

Characteristics such as no evidence of allergy or defined triggers help define the clinical subtypes of chronic nonallergic rhinitis. Treatment is based on avoiding triggers and relieving symptoms.

Apr 15, 2014 Issue
AAP Releases Guideline on Diagnosis and Management of Acute Bacterial Sinusitis in Children One to 18 Years of Age [Practice Guidelines]

Approximately 6% to 7% of children presenting with respiratory symptoms have acute sinusitis. This practice guideline from the American Academy of Pediatrics (AAP), which updates the 2001 guideline, discusses diagnosis and management of acute bacterial sinusitis in children one to 18 years of age.

Dec 15, 2013 Issue
Smell and Taste Disorders in Primary Care [Article]

Smell and taste disorders can be challenging to diagnose because of the large number of potential etiologies. Patients are often unable to provide a clear history of symptoms, because they frequently cannot distinguish between difficulties with smell and taste. Standardized questionnaires may be hel...

Jun 15, 2010 Issue
Treatment of Allergic Rhinitis [Article]

Allergic rhinitis is a common chronic respiratory illness that affects quality of life, productivity, and other comorbid conditions, including asthma. Treatment should be based on the patient’s age and severity of symptoms. Patients should be advised to avoid known allergens and be educated abou...

May 1, 2006 Issue
Diagnosing Rhinitis: Allergic vs. Nonallergic [Article]

Allergic rhinitis, the most common type of rhinitis, generally can be differentiated from the numerous types of nonallergic rhinitis through a thorough history and physical examination. Allergic rhinitis may be seasonal, perennial, or occupational. The most common cause of nonallergic rhinitis is ac...

May 1, 2006 Issue
Swollen Masses in the Nose [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Sep 15, 2005 Issue
Vasomotor Rhinitis [Article]

Vasomotor rhinitis affects millions of Americans and results in significant symptomatology. Characterized by a combination of symptoms that includes nasal obstruction and rhinorrhea, vasomotor rhinitis is a diagnosis of exclusion reached after taking a careful history, performing a physical examinat...

Jan 15, 2005 Issue
Management of Epistaxis [Article]

Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed history and physi...

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