RT Book, Section
A1 Smith, Mindy
A1 Sabella, Camille
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114870114
T1 Sinusitis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114870114
RD 2024/04/24
AB A  6-year-old  is  brought  in  by  his  mother  for  persistent  rhinorrhea.  He  had  what  appeared  to  be  a  cold  about  2  weeks  prior  but  continues  to  have  a  stuffy  nose  and  a  constant  cough,  which  is  worse  at  night.  He  has  no  fever  but  his  mother  says  that  he  appears  more  tired  than  usual  and  has  a  decreased  appetite.  On  examination,  the  child  has  a  purulent  nasal  discharge,  nasal  mucosal  erythema,  and  allergic  shiners  (Figure  26-1);  he  otherwise  appears  healthy.  You  diagnose  acute  bacterial  sinusitis  (ABS)  and  prescribe  oral  amoxicillin-clavulanate.  You  discuss  the  lack  of  benefit  of  antihistamines  and  decongestants  but  offer  a  prescription  for  nasal  corticosteroids,  which  the  parent  declines.