The Rational Clinical Examination
David L. Simel, Drummond Rennie
Sinusitis
John W. Williams, Jr, David L. Simel
Clinical Scenario
Topics Discussed:
sinusitis, upper respiratory infections
Excerpt:
"A patient presents to your office with a "bad cold." Her
symptoms began 5 days ago, when a runny nose, a scratchy throat,
generalized malaise, and a nonproductive cough developed. Her symptoms are
gradually improving with an over-the-counter cough medicine, but
during the past 24 hours a "sinus headache" has
developed. The patient is concerned that she may have "sinus." It
is the middle of cold and flu season, and this is the fifth patient
you have treated today who has upper respiratory tract symptoms. ..."
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