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What Would I Do Next? | Sinusitis Abscess

Garrett Bassett, DO, Mike Weinstock, MD, and Mizuho Morrison, DO
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Pediatric sinusitis has specific criteria for diagnosis and may be confused with a viral URI. When symptoms persist or present with atypical features such as vertigo, consideration for more serious etiologies, such as extension into the brain, should be considered.

 

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Ian L., Dr -

In sinusitis the Ostia are blocked and inflammed as is the sinus mucosa .
Corticosteroids 0.5-1mg /kg with the antibiotics are often of great benefit in symptom relief and cure .

Sylvia Z. -

Would a dose of decadron be helpful?

Sylvia Z. -

So glad to see you NOT recommending Zithromax. I feel that SO many are treating with Zithromax still despite the recommendations to stick to simple beta lactams!

Mike W., MD -

Absolutely! Thx for the comments Sylvia!!
M

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Game of Imposters Full episode audio for MD edition 181:59 min - 85 MB - M4AHippo Urgent Care RAP - August 2017 Written Summary 290 KB - PDF

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