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Surgery 1 - Third Year BHMS

Contents

Surgery 1 - Third Year BHMS

Contents

CoursesBHMSSurgery 1 - Third Year BHMSRHINITIS

RHINITIS

Content

RHINITIS

  1. Definition: Inflammation of the nasal mucosa and the nasal passages.

  2. Types of Rhinitis:

    1. Common Cold: Acute viral rhinitis.
    2. Allergic Rhinitis: Type-I hypersensitivity reaction to inhaled allergens.
    3. Non-Allergic Rhinitis: Non-allergic rhinitis, often due to environmental factors.
    4. Chronic Rhinitis: Long-standing inflammation of the nasal mucosa.
    5. Atrophic Rhinitis: Inflammation and atrophy of the nasal mucosa.
    6. Rhinitis Sicca: Dryness and atrophy of the nasal mucosa.
    7. Rhinosporidiosis: Infection with Rhinosporidium seeberi.
    8. Rhinoscleroma: Infection with Klebsiella rhinoscleromatis.

Common Cold (Acute Viral Rhinitis)

  1. Aetiology: Most commonly caused by viruses (e.g., rhinovirus, influenza virus).
  2. Clinical Features:
    1. Symptoms: Nasal congestion, runny nose, sneezing, coughing, sore throat.
    2. Pathology: Inflammation of the nasal mucosa and the nasal passages.
  3. Differential Diagnosis: Allergic rhinitis, non-allergic rhinitis, sinusitis.
  4. Complications: Middle ear infections, secondary bacterial infections, exacerbation of asthma.
  5. Management:
    1. Treatment: Antiviral medications, decongestants, antihistamines, pain relievers.
    2. Self-Care: Rest, hydration, saline nasal sprays, humidifiers.

Homoeopathic Therapeutics of Common Cold

  1. Medicines:
    1. Arsenicum album: For acute onset, nasal congestion, and cough.
    2. Belladonna: For high fever, headache, and facial pain.
    3. Eupatorium perfoliatum: For severe headache, facial pain, and sore throat.
    4. Gelsemium: For fatigue, weakness, and muscle aches.
    5. Phosphorus: For nosebleeds, sneezing, and watery discharge.

Chronic Simple Rhinitis

  1. Definition: Long-standing inflammation of the nasal mucosa.
  2. Aetiology: Allergic reactions, environmental factors, and chronic infections.
  3. Clinical Features: Nasal congestion, runny nose, sneezing, coughing.
  4. Management: Nasal corticosteroids, immunotherapy, and avoidance of allergens.

Chronic Hypertrophic Rhinitis

  1. Definition: Long-standing inflammation and hypertrophy of the nasal mucosa.
  2. Aetiology: Allergic reactions, environmental factors, and chronic infections.
  3. Clinical Features: Nasal congestion, runny nose, sneezing, coughing, and nasal polyps.
  4. Management: Nasal corticosteroids, immunotherapy, and nasal surgery.

Atrophic Rhinitis

  1. Definition: Inflammation and atrophy of the nasal mucosa.
  2. Aetiology: Chronic infections, allergies, and environmental factors.
  3. Clinical Features: Nasal crusting, dryness, and atrophy of the nasal mucosa.
  4. Management: Nasal saline irrigations, topical corticosteroids, and nasal surgery.

Rhinitis Sicca

  1. Definition: Dryness and atrophy of the nasal mucosa.
  2. Aetiology: Chronic infections, allergies, and environmental factors.
  3. Clinical Features: Nasal crusting, dryness, and atrophy of the nasal mucosa.
  4. Management: Nasal saline irrigations, topical corticosteroids, and nasal surgery.

Rhinosporidiosis

  1. Definition: Infection with Rhinosporidium seeberi.
  2. Aetiology: Infection via skin contact or contaminated water.
  3. Clinical Features: Nasal polyps, nasal crusting, and nasal bleeding.
  4. Management: Surgical excision, topical corticosteroids, and antifungal medications.

Rhinoscleroma

  1. Definition: Infection with Klebsiella rhinoscleromatis.
  2. Aetiology: Infection via inhalation of contaminated dust.
  3. Clinical Features: Nasal crusting, nasal bleeding, and facial deformity.
  4. Management: Surgical excision, topical corticosteroids, and antibiotics.

Homoeopathic Treatment of Rhinitis

  1. Medicines:
    1. Nux vomica: For nasal congestion, runny nose, and sneezing.
    2. Pulsatilla: For nasal congestion, runny nose, and cough.
    3. Sabadilla: For hay fever, nasal congestion, and sneezing.
    4. Urtica urens: For nasal itching, sneezing, and runny nose.
    5. Histaminum: For nasal congestion, runny nose, and sneezing.