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A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain

A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain CLINICAL CROSSROADS CLINICIAN’S CORNER CONFERENCES WITH PATIENTS AND DOCTORS A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain Review of Acute Rhinosinusitis Peter H. Hwang, MD, Discussant Acuterhinosinusitisisacommonailmentaccountingformil- DR REYNOLDS: Mrs D is a 51-year-old woman with a history lions of office visits annually, including that of Mrs D, a 51- of seasonal allergies who presented with 5 days of upper res- year-old woman presenting with 5 days of upper respira- piratory tract infection symptoms and facial pain. tory illness and facial pain. Her case is used to review the Mrs D is in good health but has been spending time in a diagnosis and treatment of acute rhinosinusitis. Acute vi- large medical center recently, visiting her husband, who is un- ral rhinosinusitis can be difficult to distinguish from acute dergoing chemotherapy. About 5 days before presentation, she bacterial rhinosinusitis, especially during the first 10 days noticed the onset of watery eyes, sneezing, chest congestion, nasal mucus production, and myalgias. She thought she had ofsymptoms.Evidence-basedclinicalpracticeguidelinesde- a cold. After a few days she began having pain in her left fore- veloped to guide diagnosis and treatment of acute viral and head, under her eye, and near http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain

Hwang, Peter H.
JAMA , Volume 301 (17) – May 6, 2009
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References (71)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2009.481
pmid
19336696
Publisher site
See Article on Publisher Site

Abstract

CLINICAL CROSSROADS CLINICIAN’S CORNER CONFERENCES WITH PATIENTS AND DOCTORS A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain Review of Acute Rhinosinusitis Peter H. Hwang, MD, Discussant Acuterhinosinusitisisacommonailmentaccountingformil- DR REYNOLDS: Mrs D is a 51-year-old woman with a history lions of office visits annually, including that of Mrs D, a 51- of seasonal allergies who presented with 5 days of upper res- year-old woman presenting with 5 days of upper respira- piratory tract infection symptoms and facial pain. tory illness and facial pain. Her case is used to review the Mrs D is in good health but has been spending time in a diagnosis and treatment of acute rhinosinusitis. Acute vi- large medical center recently, visiting her husband, who is un- ral rhinosinusitis can be difficult to distinguish from acute dergoing chemotherapy. About 5 days before presentation, she bacterial rhinosinusitis, especially during the first 10 days noticed the onset of watery eyes, sneezing, chest congestion, nasal mucus production, and myalgias. She thought she had ofsymptoms.Evidence-basedclinicalpracticeguidelinesde- a cold. After a few days she began having pain in her left fore- veloped to guide diagnosis and treatment of acute viral and head, under her eye, and near

Journal

JAMA – American Medical Association

Published: May 6, 2009

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