Eye, Nose & Throat

Patient's with risk factors every 1-2 yrs under 40 and over 55, 5-10 yrs < 40

Visual acuity, visual fields, fundoscopic, intraocular pressure

Topicals to increase aqueous humor outflow, prostaglandins (xalatan), beta-blockers (timolol), cholinergic (Pilocarpine, carbachol)

Q3-4 month-chronic illness for intraocular pressure

Topical to increase aqueous humor outflow, topical to reduce aqueous production, systemics to reduce aqueous secretion

Sprays of afrin, soaks of lidocaine or cocaine and epinephrine

No valsalva, do not touch nose, do not lie flat, use petroleum jelly, hydration

Inflammation of the mucous membranes lining the paranasal sinuses

Older age, smoker, air travel, swimming, polyps, foreign, allergies, asthma, dental infection

Common cold, influenza, rhinovirus, corona virus, adenovirus, RSV

Strep pneumonae, h.influenza, morexella

Staph aureus, pseudomonas, klebsiella

H/o recent URI, nasal discharge, HA, decreased sense of smell, facial tightness, pressure or pain, purulent pharyngeal secretions w/ cough

Erythema, swelling, facial tenderness, purulent nasal discharge, periorbital cellulitis & excessive tearing

Sinus xray, CT scan, transillumination

Patient have < 10 days of symptoms consistent with ARS that are not worsening.

Persistent symptoms or signs of ARS lasting 10 or more days without evidence of improvement, severe symptoms fever

Air humidifier, hot beverage, nasal irrigation, hydration

Nasal vaso-constrictors, systemic decongestants, analgesics, antipyretics