Correct!
Given the duration of the symptoms, it is most likely a bacterial infection. Since there is still debate as to whether bacterial nasopharyngitis exists, the diagnosis is most likely a bacterial rhinosinusitis.
![]() |
Pathophysiology of Bacterial Rhinosinusitis |
![]() |
History taking for Bacterial Rhinosinusitis |
Your patient describes purulent nasal discharge despite the use of over-the-counter medication recommended at the last visit. She does describe some pain on palpation of her cheek, but no tooth ache. She also describes a fever of 37.5 degrees Celsius for the past few days.
You then perform a Physical Exam