A 35-year-old woman presents with facial pain over her maxillary sinuses and purulent nasal discharge for 10 days. She had an upper respiratory infect...

Question

A 35-year-old woman presents with facial pain over her maxillary sinuses and purulent nasal discharge for 10 days. She had an upper respiratory infection 2 weeks ago. She is afebrile and systemically well. According to Choosing Wisely Canada recommendations, what is the most appropriate management?

Accepted Answer

Nasal saline irrigation, intranasal corticosteroids, analgesia, and watchful waiting

Answer

Immediate broad-spectrum antibiotics for all sinus symptoms

Answer

Urgent CT scan of the sinuses

Answer

Systemic corticosteroids alone

Answer

Long-term macrolide therapy

ca-mccqe1 MCQ (SBA): Acute sinusitis - Choosing Wisely management

A 35-year-old woman presents with facial pain over her maxillary sinuses and purulent nasal discharge for 10 days. She had an upper respiratory infection 2 weeks ago. She is afebrile and systemically well. According to Choosing Wisely Canada recommendations, what is the most appropriate management?