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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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Physical Assessment of the Respiratory Tract I: Health History01:28

Physical Assessment of the Respiratory Tract I: Health History

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Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
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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.
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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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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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Drugs Used in Lower Respiratory Disorders: Overview01:17

Drugs Used in Lower Respiratory Disorders: Overview

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Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
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Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

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Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
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Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
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Patient-Reported Outcome Measures in Rhinitis and Chronic Rhinosinusitis.

Mark S Dykewicz1, Dana V Wallace2, Sindhura Bandi3

  • 1Section of Allergy and Immunology, Department of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, Mo.

The Journal of Allergy and Clinical Immunology. in Practice
|July 14, 2024
PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) are crucial for assessing rhinitis and chronic rhinosinusitis (CRS). While valuable, challenges remain in selecting, administering, and interpreting PROMs for optimal clinical decision-making and patient care.

Keywords:
Allergic rhinitisChronic rhinosinusitisChronic rhinosinusitis controlChronic rhinosinusitis managementChronic rhinosinusitis questionnairesChronic rhinosinusitis symptomsNonallergic rhinitisPROMPROMsPatient-reported outcome measuresQuality of lifeRhinitisRhinitis controlRhinitis managementRhinitis questionnairesRhinitis symptomsSinusitisSinusitis controlSinusitis managementSinusitis questionnairesSinusitis symptoms

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Area of Science:

  • Otolaryngology
  • Clinical Outcomes Research
  • Health Services Research

Background:

  • Patient-reported outcome measures (PROMs) are essential tools for evaluating rhinitis and chronic rhinosinusitis (CRS).
  • PROMs capture patient experiences including symptoms, disease control, well-being, and quality of life (QOL).
  • These measures are frequently employed in clinical trials and practice before and after interventions like medication or immunotherapy.

Purpose of the Study:

  • To review the current landscape and challenges of PROMs in rhinitis and CRS management.
  • To highlight the varying validation levels of different PROM types (symptoms, disease control, QOL).
  • To discuss the evolving concepts of disease control measurement in CRS.

Main Methods:

  • Literature review and synthesis of existing research on PROMs for rhinitis and CRS.
  • Analysis of the validation status and common usage of specific PROMs.
  • Identification of challenges in the clinical application of PROMs.

Main Results:

  • The Rhinitis Quality of Life Questionnaire is the most validated PROM for allergic rhinitis (AR).
  • No universally accepted criterion standard exists for symptom and disease control PROMs in AR and CRS.
  • The 22-item Sinonasal Outcome Test is a commonly used QOL measure for CRS.
  • Numerous criteria (at least 15) have been used for CRS disease control, indicating an evolving definition.

Conclusions:

  • PROMs are vital but face challenges in clinical implementation, including instrument selection, administration protocols, and patient/provider burden.
  • Further standardization and validation are needed for symptom and disease control PROMs in rhinitis and CRS.
  • Addressing challenges like comorbidities and questionnaire fatigue is crucial for effective PROM utilization in shared decision-making.