Sinusitis history and symptoms

Overview
Several prediction rules have been developed to aid in diagnosis based on the history and physical. The most consistenly identified predictor is the presence of purulent rhinorrhea

When imaging techniques are required for diagnosis CT scanning is the method of choice. If allergies are suspected, allergy testing may be performed

History & Symptoms
The classic symptoms of acute sinusitis in adults usually follow a cold that does not improve, or one that worsens after 5 - 7 days of symptoms. Symptoms include:
 * Bad breath or loss of smell
 * Cough, often worse at night
 * Fatigue and generally not feeling well
 * Fever
 * Headache -- pressure-like pain, pain behind the eyes, toothache, or facial tenderness
 * Nasal congestion and discharge
 * Sore throat and postnasal drip

Symptoms of chronic sinusitis are the same as those of acute sinusitis, but tend to be milder and last longer than 8 weeks.

Symptoms of sinusitis in children include:
 * Cold or respiratory illness that has been improving and then begins to get worse
 * High fever, along with a darkened nasal discharge, for at least 3 days
 * Nasal discharge, with or without a cough, that has been present for more than 10 days and is not improving