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The Word ‘Sinus’ should not be Used as a Diagnostic Label in Private Practice
O P Kapoor
 

ENT specialists are very fond of using the word sinus”! The family physicians have picked up this word from them and the public is as afraid of sinus. An acute attack of common cold, which is ‘viral rhinitis’ is often misdiagnosed as an acute attack of ‘sinus’. Most of the chronic sinus patients have simple chronic allergic rhinitis.

Really speaking, the diagnosis of sinus aetiology should be suspected only when a patient complains of aches, discomfort or pain over the sinuses, which are also tender on palpation. Purulent nasal discharge, which is also often trickling behind the uvula and is often brought out after suction through the mouth, is another good symptom to diagnose sinus. Once suspected, an X-ray or even a CT scan of the sinuses will be worthwhile.

 

CHRONIC PULMONARY HYPERTENSION AFTER PULMONARY EMBOLISM

Chronic thromboembolic pulmonary hypertension is believed to be rare after an episode of acute pulmonary embolism. This study showed that the incidence of this serious complication was nearly 4 per cent - substantially higher than previously reported - and was associated with previous pulmonary embolism, large perfusion defects, and an idiopathic presentation. Possible approaches to prevention are discussed.

N Engl J Med, 2004; 350 : 22; 2230.