Otolaryngology Book

http://www.fpnotebook.com/

Rhinitis

Aka: Rhinitis, Nasal discharge, Rhinorrhea, Coryza
  1. Causes
    1. See Rhinitis Causes
  2. History
    1. Duration of symptoms <1 week
      1. Viral Rhinitis
      2. Allergic Rhinitis Exacerbation
    2. Chronic symptoms that follow pattern of triggers
      1. Seasonal or Perennial Allergic Rhinitis
      2. Other causes
        1. Drug-Induced Rhinitis
        2. Exercise-induced Rhinitis
        3. Gustatory Rhinitis or other food reactions
        4. Vasomotor Rhinitis
        5. Irritant Rhinitis
    3. Unilateral Rhinorrhea
      1. Choanal Atresia
      2. Nasal Foreign Body (especially in young children)
      3. Nasal Neoplasm
      4. Cerebrospinal Rhinorrhea
    4. Underlying medical conditions
      1. Hypothyroidism
      2. Rheumatoid conditions (e.g. SLE, Sjogren's Syndrome)
      3. Gastroesophageal Reflux
  3. Examination
    1. Eyes
      1. Allergic Shiners
      2. Allergic Conjunctivitis
    2. Ears
      1. Eustachian Tube Dysfunction (chronic congestion)
    3. Nose
      1. Nose breathing difficult (chronic congestion)
      2. Deviated septum
      3. Nasal Polyps
      4. Purulent nasal drainage (Acute Sinusitis)
    4. Mouth
      1. Tonsil hypertrophy (non-Allergic Rhinitis)
    5. Neck
      1. Cervical Lymphadenopathy (Infectious Rhinitis)
    6. Respiratory
      1. Wheezing (Asthma and Atopic Triad)
    7. Skin
      1. Eczema (Atopic Triad)
  4. Diagnostics
    1. Eosinophils on nasal drainage evaluation
      1. Suggests Allergic Rhinitis or Eosinophilia Syndrome
    2. Allergy evaluation
      1. Skin Testing for allergy
      2. RadioAllergoSorbent Test (RAST)
  5. Differential Diagnosis
    1. Allergic Rhinitis
      1. Sneezing and Pruritus with seasonal variation
      2. Pale, boggy nasal mucosa
      3. Family History of Allergic Rhinitis or atopy
      4. Allergan exposure or positive Allergy Testing
    2. Non-Allergic Rhinitis
      1. See Rhinitis Causes
      2. Perennial symptoms
      3. Post-nasal drainage
      4. Erythematous nasal mucosa
      5. Irritant exposure and negative Allergy Testing
  6. References
    1. Wallace (2008) J Allergy Clin Immunol 122(2 suppl): S1-84

Acute Coryza (C0086066)

Concepts Finding (T033)
MSH D003139
English Acute Coryza, nasal discharge coryza, coryza (physical finding), coryza, acute coryza, rhinitis acute, acute nasopharyngitis, acute rhinitis, Coryza, Acute
French Rhinopharyngite aigüe, Coryza aigu, Rhinite aiguë épidémique, Rhinopharyngite aiguë
Portuguese Coriza Aguda
Spanish Sniffles, Snuffles, Coriza Aguda
German Coryza, akute
Czech koryza akutní
Dutch Coryza, acute
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Rhinorrhea (C1260880)

Definition (NCI) A discharge of fluid from the nose.
Concepts Sign or Symptom (T184)
SnomedCT 397746007, 267101005, 64531003, 162381008, 397811005, 6696001, 155497009, 206325007, 266377009
English RHINORRHEA, RHINORRHOEA, RUNNY NOSE, Runny nose, Increased nasal secretion, nasal discharge rhinorrhea, rhinorrhea, rhinorrhea (physical finding), Rhinorrhea, NASAL DRIP, nose runny, nose run, dripping nose, drips nose, nasal drip, Runny;nose, nose drip, nose running, nasal catarrh, dripping nasal, drip nasal, drips nasal, nose runs, rhinorrhoea, running nose, Nasal Discharge, Runny Nose, Snuffles, Nose dripping, Nose running, Snuffles (finding), Rhinorrhoea, Nasal catarrh, catarrh; nasal, catarrh; nasopharyngeal, nasal; catarrh, nasopharyngeal; catarrh, snuffles, Rhinorrhea (finding), runny nose
Italian Rinorrea, Catarro nasale
Dutch loopneus, neusverkoudheid, catarre; nasofaryngeaal, catarre; neus, nasofaryngeaal; catarre, neus; catarre, rhinorroe
French Catarrhe nasal, Nez qui coule, RHINORRHEE, Rhinorrhée
German laufende Nase, Nasenkatarrh, RHINORRHOE, Rhinorrhoe
Portuguese Catarro nasal, Nariz com corrimento, RINORREIA, Rinorreia
Spanish Catarro nasal, Moqueo, Nose dripping, Nasal discharge present, Nose running, Rhinorrhoea, Rhinorrhea, Snuffles, RINORREA, aumento de la secreción nasal, catarro nasal, resuellos (hallazgo), resuellos, rinorrea (hallazgo), rinorrea (trastorno), rinorrea, Rinorrea, descarga nasal
Japanese 鼻漏, 鼻汁, 鼻カタル, ﾊﾅｶﾀﾙ, ﾋﾞｼﾞｭｳ, ﾋﾞﾛｳ
Czech Příznaky rýmy, Rinorea, Nosní katar
Hungarian Váladékozó orr, Rhinorrhoea, Catarrhus nasalis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Rhinitis (C0035455)

Definition (MSH) Inflammation of the NASAL MUCOSA, the mucous membrane lining the NASAL CAVITIES.
Definition (CHV) an inflammation of the nasal mucous membrane
Definition (CSP) inflammation of the mucous membrane of the nose.
Definition (NCI) An inflammation of the mucous membrane lining the nose, usually associated with nasal discharge.
Concepts Disease or Syndrome (T047)
MSH D012220
SnomedCT 70076002
English Rhinitides, RHINITIS, Rhinitis, NOS, rhinitis, rhinitis (diagnosis), Catarrh, Nasal, Nasal Catarrhs, Nasal Catarrh, Catarrhs, Nasal, Rhinitis NOS, Rhinitis [Disease/Finding], Rhinitis (disorder), Rhinitis
French RHINITE, Rhinite SAI, Rhinite
Portuguese RINITE, Rinite NE, Catarro Nasal, Rinite
Spanish RINITIS, Rinitis NEOM, Catarro Nasal, rinitis (trastorno), rinitis, Rinitis
German RHINITIS, Rhinitis NNB, Rhinitis
Dutch rhinitis NAO, rhinitis, Rhinitis
Italian Rinite NAS, Catarro nasale, Rinite
Japanese 鼻炎ＮＯＳ, ﾋﾞｴﾝNOS, ﾋﾞｴﾝ, 鼻炎
Swedish Snuva
Czech rýma, rinitida, Rinitida NOS, Rinitida
Finnish Nuha
Russian RINIT, РИНИТ
Croatian RINITIS
Polish Nieżyt nosa
Hungarian rhinitis k.m.n., rhinitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Navigation Tree