دکتر پوربدخشان.pptx bbbjjjbybbjjjjbbbbbbbb

Sehat

1. بسم الله الرحمن الرحیم سینوزیت در کودکان دکتر نفیسه پوربدخشان دانشیار دانشگاه علوم پزشکی مشهد

2. Case Presentation Patient Information Name:  Zahra Age:  7 years Gender:  Female Occupation:  Student Chief Complaint Zahra presents with persistent nasal congestion and facial pain for the past week. History of Present Illness Onset:  Symptoms began approximately 10 days ago following a cold. Duration:  Symptoms have been worsening over the last week.

3. Case Presentation Symptoms: Nasal congestion and difficulty breathing through the nose Thick, purulent nasal discharge (yellow-green) Facial pain, particularly over the cheeks Cough that worsens at night Fever (101°F) Fatigue and irritability Past Medical History No significant past medical history. History of seasonal allergies, managed with antihistamines. No previous episodes of sinusitis.

4. Case Presentation Medications • Over-the-counter antihistamines ( loratadine ). • Nasal saline drops. Family History • Non-contributory; no family history of chronic sinus issues. Social History • Lives with parents and an older sibling. • No exposure to tobacco smoke. • Active in school and sports.

5. Case Presentation Review of Systems • ENT: Positive for nasal congestion, purulent discharge, facial pain. • Respiratory: Cough but no wheezing or shortness of breath. • General: Low-grade fever, fatigue, and irritability. Physical Examination • Vital Signs: • Temperature: 101°F • Pulse: 90 bpm • Respiratory Rate: 20 breaths/min

6. Case Presentation • General Appearance: Mildly distressed, appears fatigued. • HEENT: • Nasal mucosa: Swollen and erythematous with thick yellow-green discharge. • Sinuses: Tenderness noted over the maxillary sinuses. • Throat: Mild erythema, no tonsillar enlargement. • Lungs: Clear to auscultation bilaterally.

7. Dierential diagnosis of acute bacterial rhinosinusitis in children

8. Approach to empiric antimicrobial therapy for outpatient treatment of uncomplicated ABRS in children with no contraindications to penicillin antibiotics

9. Approach to empiric antimicrobial therapy for outpatient treatment of uncomplicated ABRS in children with no contraindications to penicillin antibiotics

10. Approach to empiric antimicrobial therapy for outpatient treatment of uncomplicated ABRS in children with no contraindications to penicillin antibiotics