Nose and sinuses: approach to complaints
Nosebleed, nasal blockage, runny nose, loss of smell and facial pain.
9 pages
Approach to a complaint
- Approach to a runny nose, including CSF leakMost runny noses are viral or allergic; clear, one-sided, persistent discharge means thinking of…
- Approach to facial pain and «sinus headache»Facial pain without purulent discharge or nasal blockage is rarely sinusitis; it is usually a…
- Approach to loss of smellLoss of smell may be conductive, from polyps or rhinosinusitis, or sensorineural, from viruses…
- Approach to nasal blockageOne-sided, fixed nasal blockage suggests a structural cause or a tumour; bilateral, variable…
- Approach to nosebleedAlmost all nosebleeds are anterior, from Kiesselbach's area, and stop with pressure; posterior…
Topic
- Complications of sinusitis: orbital, intracranial and bonyRarely, sinus infection spreads to the eye socket, the brain or the bone of the skull; swelling…
- External nose and nasal vestibule: furuncle, vestibulitis, rhinophyma and the danger area of the faceBoils and infections of the nose skin are usually minor, but the nose sits in a danger area…
- Granulomatous diseases of the nose: leishmaniasis, leprosy, TB, syphilis, rhinoscleroma, rhinosporidiosis, GPACrusting, bleeding and a nose that slowly destroys itself point to chronic infections…
- Other nasal problems: rhinolith, nasal myiasis, synechiae, antrochoanal polyp and CSF leakA one-sided blocked or smelly nose has a short list of causes: a stone, maggots, scar bands, a…
A to Z
Educational content; it does not replace a medical assessment and is not a clinical instruction. For a real case, follow current guidelines and specialist advice.
Representative model, for educational purposes only.