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Related Concept Videos

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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Chronic Obstructive Pulmonary Disease-I: Introduction01:20

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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Chronic Obstructive Pulmonary Disease01:22

Chronic Obstructive Pulmonary Disease

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
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Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

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Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
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Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
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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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Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
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Chronic Rhinosinusitis.

Michelle K Keating1, J Cole Phillips1, Jacline Phillips1

  • 1Wake Forest University School of Medicine, Winston-Salem, North Carolina.

American Family Physician
|October 16, 2023
PubMed
Summary
This summary is machine-generated.

Chronic rhinosinusitis (CRS) is a nasal and sinus inflammation affecting 1-7% of people. Management focuses on symptom relief, mucus clearance, and inflammation reduction, with surgery for refractory cases.

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Area of Science:

  • Otolaryngology
  • Immunology
  • Respiratory Medicine

Background:

  • Chronic rhinosinusitis (CRS) is a prevalent inflammatory condition affecting the nose and paranasal sinuses.
  • It significantly impacts quality of life, causing fatigue, depression, and cognitive issues.
  • CRS is characterized by specific symptoms lasting over three months, confirmed by objective findings.

Purpose of the Study:

  • To outline the definition, classification, and management strategies for chronic rhinosinusitis.
  • To highlight the importance of identifying specific patient subgroups for targeted therapies.
  • To provide guidance on when to refer patients for specialist evaluation and surgical consideration.

Main Methods:

  • Review of current literature and clinical guidelines for CRS diagnosis and treatment.
  • Emphasis on symptom-based diagnosis and objective confirmation via imaging or endoscopy.
  • Discussion of first-line treatments, management of acute exacerbations, and advanced therapies.

Main Results:

  • First-line treatments include nasal saline irrigation and intranasal corticosteroids.
  • The role of oral antibiotics and corticosteroids for exacerbations remains unclear.
  • Referral to an otolaryngologist is recommended for refractory cases or those with alarm symptoms.

Conclusions:

  • Effective management of CRS involves symptom reduction, improved mucus clearance, and inflammation control.
  • Identifying CRS with nasal polyps or comorbidities is crucial for considering biologic therapy.
  • Timely specialist referral ensures appropriate management, including surgical options for refractory disease.