Rx Note

Introduction Acute rhinosinusitis (formerly referred to as sinusitis) is an inflammation of one or more of the paranasal sinuses. Up to 2% of patients will develop acute rhinosinusitis as a complication of the common cold . Symptoms It is clinically defined by at least two of these symptoms: Nasal blockage or discharge Facial pain/pressure (or headache) Reduction (or loss) of the sense of smell Associated symptoms Altered speech is also common, indicating nasal obstruction. Bending forward often exacerbates the pain (moving the eyes from side to side and coughing or sneezing can also increase the pain), and sinuses will be tender when gently palpated. If the ethmoid sinuses are involved, retro-orbital pain (behind the eye) is often experienced. Nearly all cases are caused by viruses and only 2 in 100 cases will be complicated by bacterial cases. If this happens, more persistent pain arises in the sinus area and there may be fever and purulent nasal discharge. Management Most cases of s...

Introduction Migraine is a common primary headache disorder or unclear aetiology. It occurs more commonly in women than in men. It is recurrent in nature and classically presents as moderate-to-severe head pain lasting 4-72 hours . It is typically unilateral with a pulsating quality, accompanied by nausea, vomiting, photophobia, and/or phonophobia, and may be preceded by aura that consists of sensory, motor or language symptoms. Visual auras (accounts for ~90% of auras experienced) can take many forms, such as scotomas (blind spots), fortification spectra (zigzag lines) or flashing and flickering lights. Photophobia and phonophobia often mean that patients will seek out a dark quiet room to relieve their symptoms. NOTE: Headache is not a disease state or condition but rather a symptom, of which there are many causes. Potential Trigger Factors Triggers and strategies to reduce migraine attacks Stress Maintain regular sleep pattern. Perform regular exercise. Modify work environment...