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RhinitisAka: Nasal discharge, Rhinorrhea, Coryza

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  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

Rhinitis (C0035455)

Definition (MSH)Inflammation of the mucous membrane of the nose.
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.
ConceptsDisease or Syndrome (T047)
ICD9472.0
EnglishRhinitides, Rhinitis
Spanishrinitis
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Acute Coryza (C0086066)

ConceptsDisease or Syndrome (T047)
ICD9460
EnglishAcute coryza, Acute rhinitis, CORYZA
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Snuffles (C1260880)

ConceptsSign or Symptom (T184)
EnglishIncreased nasal secretion, Nasal catarrh, Nose dripping, Nose running, Rhinorrhea, Rhinorrhoea, Snuffles
Spanishaumento de la secreción nasal, aumento de la secrecion nasal, catarro nasal, descarga nasal, resuellos, rinorrea
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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