Causes of headacheEdemaofmucosaIrritationof purulentsecretion.Negativepressure
Causes of headache • Edema of mucosa • Irritation of purulent secretion • Negative pressure
Physical额窦筛窦.Edema上领实AreaMaxillary sinusitis :cheek领实Frontal sinusitis: uppereye lid筛窦Ethmoid sinusitis :上领卖medial canthus; nasalroot
Physical exam • Edema Area Maxillary sinusitis： cheek Frontal sinusitis：upper eye lid Ethmoid sinusitis： medial canthus; nasal root
Physical examination额卖1Tenderness筛窦上领卖AreaMaxillary sinusitis: cheekFrontal sinusitis: above the领实medial canthusEthmoid sinusitis: medial筛窦上领实canthus; nasal root
Physical examination Tenderness Area Maxillary sinusitis: cheek Frontal sinusitis：above the medial canthus Ethmoid sinusitis: medial canthus; nasal root
Headache & pain in acutesinusitisminor in morning,Forehead and cheekmaxillarysevere at afternoonBegin around10frontalForeheadA.M.,increasegraduallyend by 4P.M.noregularityethmoidMedial and deep tothe eyeDull pain at occiputSphenoidminor in morningsevere at afternoonorvertex
Headache & pain in acute sinusitis Sinusitis Daily headache regularity Pain location maxillary minor in morning, severe at afternoon Forehead and cheek frontal Begin around 10 A.M.,increase gradually ,end by 4 P.M. Forehead ethmoid no regularity Medial and deep to the eye Sphenoid minor in morning, severe at afternoon Dull pain at occiput or vertex
ExaminationBy anteriorrhinoscopeNasal discharge:purulent
Examination • By anterior rhinoscope Nasal discharge: purulent