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Nasal Discharge



    • Interpretation

    • Clear discharge - suggestive of allergic rhinitis, viral URTI or CSF leak
    • Purulent discharge - suggestive of URTI or sinusitis
    • Causes of Nasal Discharge

    • Infection - URTI, sinusitis
    • Hypersensitivity - allergic rhinitis
    • CSF leak - due to base of skull fracture
    • Epistaxis - physiological, traumatic, coagulopathy
    • Tip

    • In patients with clear nasal discharge and no symptoms of URTI, suspect a CSF leak. Look for raccoon eyes and battle sign as an indicator of base of skull fracture.
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