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Rinitis Alergi Dan Vasomotor
Rinitis Alergi Dan Vasomotor
Rinitis Alergi Dan Vasomotor
RINITIS
ALERGI
SEASEONAL
PARENIAL
RINITIS
VASOMOTOR
RINITIS
AKUT
RINITIS
SPESIFIK
R.DIFTERI
R. SIFILIS
RINITIS
HIPERTROPI
R. ATROFI
R. TUBERKULOSA
RINITIS
INFEKSI
RINITIS
KRONIS
RINITIS
SIKA
Sneezing
Anterior rhinorrhea
Nasal itch
Posterior rhinorrhea
Congestion
Symptoms
suggestive
of allergic rhinitis
Symptoms usually
NOT associated
w/ allergic rhinitis
Unilateral symptoms
Nasal obstruction w/o other
symptoms
Mucopurulent rhinorrhea
Post nasal drip : thick mucus
Pain
Recurrent epistaxis
Anosmia
Refer to a
specialist
Intermiten ( kadang-kadang )
< 4 hari/minggu atau
< 4 minggu
Persisten ( menetap )
> 4 hari/minggu dan
> 4 minggu
Mild ( ringan )
Intermittent
symptoms
< 4 days per week
or < 4 consecutive weeks
Mild
all of the following
normal sleep
no impairment of daily activities,
sport,
leisure
no impairment of work and school
symptoms present but not
troublesome
Persistent
symptoms
> 4 days per week
and > 4 consecutive weeks
Moderate-Severe
one or more items
sleep disturbance
impairment of daily activities,
sport,
leisure
impairment of work or school
troublesome symptoms
Ear
Nose
Throat
Moderate
severe
intermittent
Mild
intermittent
Mild
persistent
Moderate
severe
persistent
Intra-nasal steroid
Local cromone
Leukotriene receptor antagonists
Asthma
25%-35% of patients with AR also have asthma
>85% of patients with asthma have AR
Conjunctivitis
Prevalence ~50%
Otitis Media
Eczema
N.Vidianus
Faktor fisik:
asap rokok,
udara dingin,
kelembaban
udara tinggi,
bau-bauan,
makanan
pedas dan
panas
Parasimpatis
Obat-obatan :
CPZ, antihipertensi,
vasokonstriktor topikal
Endokrin
Psikis
Dilatasi .darah
Permeabilitas kapiler
Sekresi kelenjer
Keluhan :
Rinoskopi anterior :
Konka merah tua, edema, pmkn licin a tdk rata,
sekret
serosa/mukoid
Tes Kulit (-)
Gambaran klinis
Avoidance
Simtomatis
Operasi
Neurektomi n. vidianus