What this deck covers
Acute and Recurrent Sinusitis in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Viral rhinitis with persistent symptoms, Acute bacterial sinusitis, Allergic rhinitis with secondary infection, Chronic sinusitis with acute exacerbation, Defective neutrophil function, Chronic adenoidal hypertrophy with anatomic obstruction, Undiagnosed cystic fibrosis, Streptococcus pyogenes, Haemophilus influenzae type B, Non-typeable Haemophilus influenzae, Pseudomonas aeruginosa, Pale, boggy turbinates, Purulent secretions in the middle meatus, Mucosal edema, Deviated nasal septum, Amoxicillin-clavulanate 45 mg/kg/day, High-dose amoxicillin 90 mg/kg/day, Azithromycin 10 mg/kg/day, Cephalexin 25 mg/kg/day, Orbital cellulitis, Acute dacryocystitis, Allergic conjunctivitis, Viral keratitis, Chronic rhinosinusitis, Recurrent acute sinusitis, Allergic rhinitis with superimposed infections.
Clinical pearls from this deck
- Acute bacterial sinusitis is diagnosed by one of three clinical patterns: persistent symptoms ≥10 days without improvement, severe onset (fever ≥39°C with purulent discharge for ≥3 days), or worsening / “double-sickening” after initial improvement. No imaging or culture is needed to diagnose.
- Most pediatric sinusitis is a complication of a viral URI. Ostiomeatal complex obstruction plus impaired mucociliary clearance is the final common pathway — which is exactly why frequent URIs (e.g., daycare) drive recurrent sinusitis.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
