Fast Five Quiz: Pediatric Nasal Polyps

Fast Five Quiz: Pediatric Nasal Polyps

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Ravindhra G. Elluru, MD, PhD

March 16, 2021

Although more common in adults, nasal polyps are a clinical concern for pediatric patients and can significantly affect quality of life. In general, nasal polyps are defined as abnormal lesions that stem from any part of the nasal mucosa or paranasal sinuses. Various disease processes in the nasal cavities result in the formation of polyps. Chronic inflammation is believed to be a significant mediator of disease.

How much do you know about pediatric nasal polyps? Test your knowledge with this quick quiz.

Medscape © 2021 WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Ravindhra G. Elluru. Fast Five Quiz: Pediatric Nasal Polyps – Medscape – Mar 16, 2021.

Professor, Department of Surgery; Department of Pediatrics, Division of Otolaryngology, Boonshoft School of Medicine, Wright State University; Division Chief, Division of Pediatric Otolaryngology, Dayton Children’s Hospital, Dayton, Ohio

Disclosure: Ravindhra G. Elluru, MD, PhD, has disclosed no relevant financial relationships.

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Fast Five Quiz: Pediatric Nasal Polyps

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Fast Five Quiz: Sinusitis With Nasal Polyps

Fast Five Quiz: Sinusitis With Nasal Polyps

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Arlen D. Meyers, MD, MBA

December 29, 2020

Chronic rhinosinusitis (CRS) is one of the most common medical disorders worldwide. It is believed to affect nearly 12% of the adult population and is characterized by inflammation of the nose and sinus cavities that persists for a minimum of 12 weeks. Approximately 20% of patients with CRS have nasal polyps, or chronic rhinosinusitis with nasal polyps (CRSwNP). CRSwNP has been associated with significant morbidity, discomfort and healthcare costs. Without proper treatment, it can significantly diminish the productivity and quality of life of affected individuals.

How familiar are you with CRSwNP? Refresh your knowledge with this quick quiz.

Medscape © 2020 WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Arlen D. Meyers. Fast Five Quiz: Sinusitis With Nasal Polyps – Medscape – Dec 29, 2020.

Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine, Aurora, Colorado

Disclosure: Arlen D. Meyers, MD, MBA, has disclosed the following relevant financial relationships:
Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: CereScan; RxRevu; Cliexa; The Physicians Edge; Sync-n-Scale; mCharts
Received income in an amount equal to or greater than $250 from: The Physicians Edge; Cliexa
Received stock from: RxRevu
Received ownership interest from: CereScan, for consulting

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Fast Five Quiz: Sinusitis With Nasal Polyps

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Drinking Beer Worsens Nasal Symptoms in a 35-Year-Old Man

Drinking Beer Worsens Nasal Symptoms in a 35-Year-Old Man

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Thomas S. Higgins, Jr, MD, MSPH

March 12, 2020

The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

A 35-year-old man with a history of adult-onset asthma has had nasal obstruction and smelling loss for 4 months. He also reports postnasal drainage, cough, rhinorrhea, and facial pressure. He has no history of asthma or allergies as a child. He also has no history of previous nasal or paranasal sinus surgery. His symptoms worsen after drinking certain beers and also after using ibuprofen or aspirin.

Over the past 4 months, he has been given three courses of antibiotics, including amoxicillin, azithromycin, and amoxicillin-clavulanate with minimal effect on his symptoms. He has used nasal steroid spray one spray twice a day for 2 months, with partial improvement in symptoms of nasal congestion. He has had two courses of methylprednisolone, which had a significant effect on his symptoms; however, the effect was transient.

Upon physical examination, the patient is alert, oriented, and in no acute distress. Vital signs include an oral temperature of 97.9 °F (36.6 °C), a blood pressure of 115/83 mm Hg, a heart rate of 65 beats/min, and a respiratory rate of 14 breaths/min. Head, ear, throat, and neck examination findings are unremarkable. Nasal examination shows large nasal polyps that fill the nasal cavities bilaterally, large inferior turbinates, and clear mucoid secretions (Figure 1). No crusting or scarring is observed.

Figure 1.

Auscultation of the lungs demonstrates mild expiratory wheezing bilaterally. Allergy skin testing reveals no reactions. Spirometry revealed a forced expiratory volume in the first second of expiration (FEV1) of 75%. Chest radiography findings are normal.

CT scan of the paranasal sinuses reveals severe pansinusitis with complete to near-complete opacification of the paranasal sinus cavities and nasal cavities (Figure 2).

Figure 2.

Mild osteitis of the paranasal sinus bone is observed, with no dehiscence of the lamina papyracea or skull base. Surgical pathology of the lesion reveals findings similar to the image shown below (Figure 3).

Figure 3.

Medscape © 2020 WebMD, LLC

Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Thomas S. Higgins. Drinking Beer Worsens Nasal Symptoms in a 35-Year-Old Man – Medscape – Mar 12, 2020.

Research Director, Rhinology, Sinus & Skull Base, Kentuckiana ENT; Clinical Assistant Professor, Department of Otolaryngology – Head and Neck Surgery and Communicative Disorders, University of Louisville School of Medicine, Louisville, Kentucky

Disclosure: Thomas S. Higgins, Jr, MD, MSPH, has disclosed no relevant financial relationships.

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Figure 1.

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Figure 3.

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