copy of प्रतिश्याय by santosh kadam 15
TRANSCRIPT
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Final Year
B.A.M.S
Roll No.15
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Nose Anatomy
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SINUSES
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RHINITIS
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Nasal congestion
Nasal dischage
Snee!ing
Nasal itchiness
an" t#o $o %24 ho&s
'e(nition 0$ )*INI+IS
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2
a&ses o$ )hinitis
lleg"
N)ES s"ndoe
cc&ational*oonal
'&g ind&ced
natoic de$ects
Iitants
dese $ood eaction
Eotional
tohic
ilia" d"s3inesia
I&node(cienc"diseases
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History
Physical !amination Nose" yes" ars" #$n%s an&S'in
Nasal e!am (ith en&osco)e e&emato$s IT" )oly)s
Bloo& test * I%" eosino)hilia
Nasal +io)sy ,or &ierential &!
S'in test
RAST ra&io-aller%osor+ent test/
In0esti%ations
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asic 5anageent o$ )hinitis
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A 2NRA# -
1. Analgesics & decongestants hels"toaticall"
2. Antibiotics
ae e6&ied i$ thee isseconda" in$ection.
3. Antihistamines ed&ces nasal iitations.
4. Vitamin C is o$ do&7t$&l al&e.5. General rest & warmth ae soothing to
the atient.
TRATMNT o, RHINITIS
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B #34A#
1. Decongestant drops -ed&ce the nasals"tos.
i9asoconstictos nasal dos
o"etaoline
iiSteoid
7ecloethasone
Nasone
2. team inhalation is co$oting ;+inct&e 7en!oin o
5ethanol a" 7e added i$ desied.
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4 PR3PHY#AIS
1. 4ontact #ith atient sho&ld 7e aoided.
2.Vaccines ae not 3no#n to 7e e" e
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S>EI?I+)E+5EN+
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1. ntitoin &s&all" 10,000 &nits o$ se& aes&@cient $o nasal ditheia .
2. nti7iotics E"tho"cin /enicillin contolsthe 7acteial in$ection, 7&t the toin isco&nteed 7" the antitoin.
. >oh"lais +hose childen #ho ae li3el" tocoe in contact #ith atient ,sho&ld 7e
gien antitoin /a 7ooste dose o$ theditheia tooid.
Nasal 'itheia
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oidance o$ identi(ed allegens
Nasal steoids
ntihistaine nasal sa"
ntihistaines Asedating and no sedating
'econgestants
Nasal sa"s Aliited 2- da"s
al e$eed Aliited 7" side e
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1.>edesosing $actos sho&ld 7e eliinated .
2. l3aline Nasal 'o&ching hels to get id o$thic3 iscid secetions .
honic Sile )hinitis
h i * t hi
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1. +oical Nasal 'econgestants gies teoa"elie$ olonged &se o$ decongestant dossho&ld 7e discontin&ed totall" to eente7o&nd congestion = ha7it $oation.
2. *"etohic t&7inate a" 7e teated 7"
i Electoca&te"
ii S&7 &cosal diathe"
iii"os&ge" i Base = adiothea"
>atial +&7inecto"
honic *"etohic)hinitis
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C >ia" ca&se teated
C onseatie teatent-
1. Bocal Nasal 'os
A2Dgl&cose/chloahinicol >lacental etact
l3aline nasal do&che
2. S"steic nti7iotics
N&tition
9asodilatos
C S&gical teatent
tohic )hinitis
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Initiate toical steoid 7ilateall", discontin&edecongestant in one nostil, then the secondnostil one #ee3 late
ne-#ee3 dose o$ taeing steoids
Eal&ate $o the &ndel"ing ca&se o$ the hinitis
F
)hinitis 5edicaentosa
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lleg" contol
Intanasal steoids
S"steic steoids
oidance o$ S, NSI's
>ol"ecto"
Ethoidecto"
G
Nasal >ol"s
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a&tion #ith edication &sage
Nasal saline sa"s, stea inhalation
oidance o$ 3no#n tigges+oical edical thea" athe than s"steic
#hen ossi7le
al se&doehedine
hloheniaine
8
)hinitis in >egnanc"
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Inade6&ate contol #ith aoidance andhaacothea"
>haacothea" $o oe than -4onths e "ea
Intolea7le side eogessie seeit" o$ disease
'esie $o long-lasting contol #itho&t)
H
Indications $o I¬hea"
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Than' Yo$