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RHINOSINUSITIS

الكلية كلية طب حمورابي     القسم الكلية ذات القسم الواحد     المرحلة 5
أستاذ المادة مثنى سليم عبدالامير الحميدي       23/05/2017 10:07:37
RHINOSINUSITIS

Classification:
• Rhinosinusitis is classified along the following five axes system:
1. clinical presentation (acute, subacute, chronic), Acute is defined as lasting up to four weeks, with total resolution of symptoms. The term recurrent acute has also been adopted and is defined as four or more episodes per year, with resolution of symptoms between attacks. Subacute is persistence of sing and symptoms for more than four weeks, but less than twelve weeks with total resolution of symptoms. Finally, Chronic is 12 weeks or more of signs and symptoms.

2. anatomic site of involvement (ethmoidal, maxillary, frontal, sphenoidal),
3. organism (virus, bacterium, fungus),
4. presence of extrasinus involvement (complicated, uncomplicated),
5. modifying or aggravating factors, such as atopy, immunosuppression (specify
cause), or ostiomeatal obstruction (specify cause).
• An example of this five-axis system to classify sinusitis is (a) chronic, (b) frontal, (c) bacterial sinusitis (d) complicated by frontal bone osteomyelitis and (e) aggravated by immunosuppression due to diabetes mellitus.


Acute Rhinosinusitis:
• Having a duration of less than or equal to 4 weeks.
• Patient’s history must include either two or more major factors or one major and two minor factors.
• Should be considered if patient symptoms worsen after 5 days or if symptoms persist for more than 10 days.

• “Recurrent acute” is defined as four or more episodes of rhinosinusitis per year with complete resolution between episodes.


المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .