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Signs
 
 

Nasal Discharge

 
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Overview

  • 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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