Delmar
Forum Senior
Topics: 24
Posts: 156
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Acute :CT
Chronic: there is this new test but i dont have an idea about how important is it, according to the manf company its the first diagnostic test for CS , CRS Fungal profile
please any 1 has a feedback or the guidlines for that share with us
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VENI VIDI VICI
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| nightflight1945
banned
Topics: 32
Posts: 920
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Sinus radiography doesn't have a high sensitivity and specificity for sinusitis esp other than maxillary. In many situations you can treat an acute sinusitis without any imaging and based on clinical presentation (URT infection that lasts more than 7 days esp with typical headache and purulent nasal discharge) , however when you are dubious the best next step is CT scan. For chronic also the best initial test is CT and should be done in all cases .
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| Eagle_303
Forum Guru
Topics: 77
Posts: 655
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CT is much more sensitive than Radiographs particularly for sphenoid and ethmoid sinuses
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| kisna
Forum Senior
Topics: 26
Posts: 146
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thanks everyone
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| hitesh
.
Topics: 64
Posts: 1,084
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Sinusitis is usually a clinical diagnosis.. Go for this, if it's there..
For the diagnostic test questions, it's as usual just word games..
Best Initial test : X ray
Best diagnostic test: Culture
Best Imaging test for diagnosis : CT
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| Eagle_303
Forum Guru
Topics: 77
Posts: 655
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As a general principle we always do initially the "most sensitive test".CT is the most sensitive test for sinusitis
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| pipi99
Forum Elite
Topics: 5
Posts: 338
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I am confused...I thought its usually clinical diagnosis... 
and then CT...Thank you hitesh!
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