Algorithm for the Diagnosis of Chronic Rhinosinusitis - Flowchart
Algorithm for the Diagnosis of Chronic Rhinosinusitis - Flowchart Chronic Rhinosinusitis Chronic Rhinosinusitis
«Flowchart»

Symptoms suggestive of chronic rhinosinusitis

Symptoms suggestive of chronic rhinosinusitis

Symptoms suggestive of chronic rhinosinusitis

Symptoms suggestive of chronic rhinosinusitis

<Node Text>

<Node Text>

<Node Text>

<Node Text>

<Go to node 3>

<Go to node 3>

<Go to node 3> Node 3

<Go to node 4>

<Go to node 4>

<Go to node 4> Node 4

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 4>

<End Node 4>

<End Node 4>

<End Node 4>

Initial evaluation:


Medical history: Major, minor symptoms
General examination
Anterior rhinoscopy, nasal endoscopy
Evaluation of underlying disease and comorbid conditions
Computed tomography (CT) scan (not in an acute episode)

Initial evaluation:


Medical history: Major, minor symptoms
General examination
Anterior rhinoscopy, nasal endoscopy
Evaluation of underlying disease and comorbid conditions
Computed tomography (CT) scan (not in an acute episode)

Initial evaluation:


Medical history: Major, minor symptoms
General examination
Anterior rhinoscopy, nasal endoscopy
Evaluation of underlying disease and comorbid conditions
Computed tomography (CT) scan (not in an acute episode)


Medical history: Major, minor symptoms
General examination
Anterior rhinoscopy, nasal endoscopy
Evaluation of underlying disease and comorbid conditions
Computed tomography (CT) scan (not in an acute episode)

Special indications (differential diagnosis and underlying disease):


Allergy tests
Microbiology (eventually sinus puncture)
Challenge test for aspirin sensitivity
Nasal cytology (eosinophils, neutrophils)
Magnetic resonance imaging (MRI)
Ciliary function studies
Biopsy
Blood examinations (Wegener granulomatosis, immunodeficiencies)
Sodium chloride test (for cystic fibrosis)
Electron microscopy (for ciliary function)
Genetic analyses
Consultations of other specialties (e.g., ophthalmology, neurology)

Special indications (differential diagnosis and underlying disease):


Allergy tests
Microbiology (eventually sinus puncture)
Challenge test for aspirin sensitivity
Nasal cytology (eosinophils, neutrophils)
Magnetic resonance imaging (MRI)
Ciliary function studies
Biopsy
Blood examinations (Wegener granulomatosis, immunodeficiencies)
Sodium chloride test (for cystic fibrosis)
Electron microscopy (for ciliary function)
Genetic analyses
Consultations of other specialties (e.g., ophthalmology, neurology)

Special indications (differential diagnosis and underlying disease):


Allergy tests
Microbiology (eventually sinus puncture)
Challenge test for aspirin sensitivity
Nasal cytology (eosinophils, neutrophils)
Magnetic resonance imaging (MRI)
Ciliary function studies
Biopsy
Blood examinations (Wegener granulomatosis, immunodeficiencies)
Sodium chloride test (for cystic fibrosis)
Electron microscopy (for ciliary function)
Genetic analyses
Consultations of other specialties (e.g., ophthalmology, neurology)


Allergy tests
Microbiology (eventually sinus puncture)
Challenge test for aspirin sensitivity
Nasal cytology (eosinophils, neutrophils)
Magnetic resonance imaging (MRI)
Ciliary function studies
Biopsy
Blood examinations (Wegener granulomatosis, immunodeficiencies)
Sodium chloride test (for cystic fibrosis)
Electron microscopy (for ciliary function)
Genetic analyses
Consultations of other specialties (e.g., ophthalmology, neurology)

End

End

End