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Diagnosing and Managing Sinusitis

Confidently distinguish viral from acute bacterial rhinosinusitis and choose management that reflects current stewardship guidance.

What this track covers

This track covers paranasal sinus anatomy and mucociliary function, clinical criteria for acute and chronic rhinosinusitis, and the antibiotic stewardship decisions that separate watchful waiting from treatment. It also addresses adjunctive therapies, chronic rhinosinusitis with and without nasal polyps, and red flags that warrant imaging or ENT referral.

What you will practice

  • Differentiate viral versus acute bacterial rhinosinusitis using symptom duration and pattern
  • Decide when watchful waiting is appropriate versus starting antibiotic therapy
  • Select an initial antibiotic approach consistent with stewardship principles
  • Build a stepwise plan for chronic rhinosinusitis, with and without polyps
  • Recognize red flags and complications that require imaging or specialist referral

Simulator scenario

A patient with ten days of facial pressure, purulent discharge, and worsening symptoms after initial improvement, requiring a decision between watchful waiting and antibiotic therapy.

Board question topics

  • Diagnostic criteria for acute bacterial vs viral rhinosinusitis
  • Antibiotic stewardship and watchful waiting thresholds
  • Chronic rhinosinusitis management with and without polyps
  • Recognizing sinusitis complications and referral indications

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