Allergic rhinitis - Revision history

Rossdonaldson1: /* Background */

2021-12-02T21:08:07Z

Background

← Older revision		Revision as of 21:08, 2 December 2021
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	==Background==		==Background==
			[[File:Blausen 0015 AllergicRhinitis.png\|thumb\|Inflammation associated with allergic rhinitis.]]
	*Also called hay fever - inflammation of the nasal mucosa secondary to allergens in the air.		*Also called hay fever - inflammation of the nasal mucosa secondary to allergens in the air.
	*Associated with [[asthma]] and [[atopic dermatitis]]		*Associated with [[asthma]] and [[atopic dermatitis]]

Elcatracho: /* Management */

2021-03-08T20:12:45Z

Management

← Older revision		Revision as of 20:12, 8 March 2021
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	**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors		**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors
	*Saline nasal irrigation (neti pot) twice a day- washes out allergens		*Saline nasal irrigation (neti pot) twice a day- washes out allergens
	*Combination of topic nasal steroids ([[~~Flonase~~]], nasonex) and/or nasal [[antihistamines]] (patanase)		*Combination of topic nasal steroids ([[fluticasone propionate]], nasonex) and/or nasal [[antihistamines]] (patanase)
	**Must be used for several weeks before symptomatic relief is realized		**Must be used for several weeks before symptomatic relief is realized

Elcatracho: /* Evaluation */

2021-01-24T02:11:11Z

Evaluation

← Older revision		Revision as of 02:11, 24 January 2021
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
			**PE may show infraorbital edema and darkening (allergic shiner), transverse nasal crease (allergic salute), and cobble-stoning of the posterior oropharynx
	*Rule out bacterial infection		*Rule out bacterial infection

Elcatracho: /* Background */

2021-01-24T02:09:46Z

Background

← Older revision		Revision as of 02:09, 24 January 2021
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	==Background==		==Background==
	*Also called hay fever - inflammation of the nasal mucosa secondary to allergens in the air.		*Also called hay fever - inflammation of the nasal mucosa secondary to allergens in the air.
			*Associated with [[asthma]] and [[atopic dermatitis]]

	==Clinical Features==		==Clinical Features==

ClaireLewis at 15:17, 12 October 2019

2019-10-12T15:17:02Z

← Older revision		Revision as of 15:17, 12 October 2019
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	==Clinical Features==		==Clinical Features==
	*Constellation of symptoms:		*Constellation of symptoms:
	**Thin, clear rhinorrhea (if thick or discolored, consider infectious causes)		**Thin, clear [[rhinorrhea\|rhinorrhea]] (if thick or discolored, consider infectious causes)
	**Sneezing, itching of the nose		**Sneezing, itching of the nose
	**Nasal congestion and/or obstruction		**Nasal congestion and/or obstruction
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	*Reduce exposure to allergen		*Reduce exposure to allergen
	**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors		**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors
	*Saline nasal irrigation (~~nettpot~~) twice a day- washes out allergens		*Saline nasal irrigation (neti pot) twice a day- washes out allergens
	*Combination of topic nasal steroids ([[Flonase]], nasonex) and/or nasal [[antihistamines]] (patanase)		*Combination of topic nasal steroids ([[Flonase]], nasonex) and/or nasal [[antihistamines]] (patanase)
	**Must be used for several weeks before symptomatic relief is realized		**Must be used for several weeks before symptomatic relief is realized

Rossdonaldson1: /* Differential Diagnosis */

2017-06-01T16:41:26Z

Differential Diagnosis

← Older revision		Revision as of 16:41, 1 June 2017
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Viral [[upper respiratory infection]]		{{Rhinorrhea}}
	*Bacterial [[upper respiratory infection]]
	*Acute [[sinusitis]]
	*Chronic [[sinusitis]]
	*Fungal [[sinusitis]]
	*Nasal polyposis
	*Nasal mass
	*[[Nasal foreign body]]

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Disposition */

2017-06-01T16:39:33Z

Disposition

← Older revision		Revision as of 16:39, 1 June 2017
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	==Disposition==		==Disposition==
	*Discharge home		*Discharge home
	**~~Allergist~~ referral if nasal sprays not helping		**Consider allergist referral if nasal sprays not helping
	**ENT referral to evaluate for the need for sinus surgery which may help by opening up the sinuses allowing for better distribution of topical medications		**Consider ENT referral to evaluate for the need for sinus surgery, which may be help by opening up the sinuses allowing for better distribution of topical medications

	==See Also==		==See Also==

Rossdonaldson1: /* Management */

2017-06-01T16:39:07Z

Management

← Older revision		Revision as of 16:39, 1 June 2017
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	**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors		**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors
	*Saline nasal irrigation (nettpot) twice a day- washes out allergens		*Saline nasal irrigation (nettpot) twice a day- washes out allergens
	*~~combination~~ of topic nasal steroids ([[Flonase]], nasonex) and/or nasal [[antihistamines]] (patanase). Must be used for several weeks before symptomatic relief is realized		*Combination of topic nasal steroids ([[Flonase]], nasonex) and/or nasal [[antihistamines]] (patanase)
			**Must be used for several weeks before symptomatic relief is realized

	==Disposition==		==Disposition==

ClaireLewis at 17:38, 17 May 2017

2017-05-17T17:38:07Z

← Older revision		Revision as of 17:38, 17 May 2017
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	==Clinical Features==		==Clinical Features==
	*~~Patient present with a constellation~~ of symptoms		*Constellation of symptoms:
	**~~thin~~ clear rhinorrhea (if thick or discolored, consider infectious causes)		**Thin, clear rhinorrhea (if thick or discolored, consider infectious causes)
	**~~sneezing~~		**Sneezing, itching of the nose
	**itching of the nose		**Nasal congestion and/or obstruction
	**~~nasal~~ congestion		**Clogged feeling in the ears
	**nasal obstruction		*Common triggers:
	**~~clogged~~ feeling in the ears		**Animals
	*triggers ~~often easily identified~~		**Environmental (e.g. grassess, pollens); often symptomatic with seasonal changes
	**~~animals~~		*Symptoms last until triggers are removed
	**~~season~~ changes		*Should not have actual fever
	*~~symptoms~~ last until triggers are removed
	*~~should~~ not have ~~fevers~~

	==Differential Diagnosis==		==Differential Diagnosis==
	*~~viral~~ [[upper respiratory infection]]		*Viral [[upper respiratory infection]]
	*~~bacterial~~ [[upper respiratory infection]]		*Bacterial [[upper respiratory infection]]
	*~~acute~~ [[sinusitis]]		*Acute [[sinusitis]]
	*~~chronic~~ [[sinusitis]]		*Chronic [[sinusitis]]
	*~~fungal~~ [[sinusitis]]		*Fungal [[sinusitis]]
	*~~nasal~~ polyposis		*Nasal polyposis
	*~~nasal~~ mass		*Nasal mass
	*[[~~nasal~~ foreign body]]		*[[Nasal foreign body]]

	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*~~ensure no signs of~~ bacterial infection		*Rule out bacterial infection

	==Management==		==Management==
	*Saline nasal irrigation (~~netipot~~) twice a day- washes out allergens		*Reduce exposure to allergen
	*combination of topic nasal steroids (~~flonase~~, nasonex) and/or nasal antihistamines (patanase). Must be used for several weeks before symptomatic relief is realized		**If environmental, sleep with windows closed, change clothes and/or shower when returning home after being outdoors
			*Saline nasal irrigation (nettpot) twice a day- washes out allergens
			*combination of topic nasal steroids ([[Flonase]], nasonex) and/or nasal [[antihistamines]] (patanase). Must be used for several weeks before symptomatic relief is realized

	==Disposition==		==Disposition==

Jdiamond: /* Disposition */

2017-05-10T18:39:49Z

Disposition

← Older revision		Revision as of 18:39, 10 May 2017
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	==Disposition==		==Disposition==
			*Discharge home
			**Allergist referral if nasal sprays not helping
			**ENT referral to evaluate for the need for sinus surgery which may help by opening up the sinuses allowing for better distribution of topical medications

	==See Also==		==See Also==