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Acute Pharyngitis01:30

Acute Pharyngitis

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Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
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Drugs Used in Upper Respiratory Disorders: Overview01:16

Drugs Used in Upper Respiratory Disorders: Overview

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Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
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Tonsillitis II: Management01:26

Tonsillitis II: Management

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Chronic Pharyngitis01:23

Chronic Pharyngitis

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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
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Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

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Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
2.9K
Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
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Updated: Mar 17, 2026

Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
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Current Concepts in Adult Acute Rhinosinusitis.

Ann M Aring1, Miriam M Chan1

  • 1OhioHealth Riverside Methodist Hospital, Columbus, OH, USA.

American Family Physician
|July 16, 2016
PubMed
Summary
This summary is machine-generated.

Most acute rhinosinusitis cases are viral and do not require antibiotics. Clinical signs alone are poor predictors, but specific symptoms and inflammatory markers can suggest bacterial infection, guiding antibiotic consideration after 7-10 days.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Primary Care Medicine

Background:

  • Acute rhinosinusitis is a frequent ambulatory care diagnosis, predominantly viral.
  • Identifying bacterial sinusitis requiring antibiotics is challenging based on typical symptoms.

Purpose of the Study:

  • To review diagnostic criteria and treatment strategies for acute rhinosinusitis.
  • To evaluate the utility of clinical signs, inflammatory markers, and imaging in managing acute rhinosinusitis.

Main Methods:

  • Meta-analysis of individual patient data to assess clinical predictors.
  • Review of current guidelines and evidence for diagnostic tests and therapies.
  • Analysis of symptom patterns and inflammatory markers (CRP, ESR) for bacterial sinusitis.

Main Results:

  • Common symptoms lack efficacy in predicting antibiotic benefit.
  • Double sickening, purulent rhinorrhea, elevated ESR, and nasal purulence suggest bacterial sinusitis.
  • Watchful waiting is recommended for 7-10 days; antibiotics like amoxicillin are first-line if indicated.

Conclusions:

  • Diagnosis of acute bacterial rhinosinusitis relies on a combination of specific symptoms and inflammatory markers.
  • Antibiotic therapy should be reserved for persistent or worsening symptoms after an initial watchful waiting period.
  • Further evidence is needed for symptomatic treatments like nasal steroids and saline irrigation.