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Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the gov.uk website.

Last updated: 30 March, 2020 15:59pm

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Sinusitis – Information for GPs

Referral Criteria/Commissioning position

Referral if:

  • Conventional management & treatment options have been tried and have not been successful

Red flag symptoms

  • Excessive pain perception with little or no response to normal analgesia
  • Bloody nasal discharge
  • History of head injury or other possible facial/cranial trauma, especially if within the last six months
  • Facial pain without any nasal discharge
  • Ocular symptoms, sickness, severe dizziness, memory or behaviour issues etc.
  • Persistent or severe unilateral symptoms

Investigations prior to referral

None

Information to include in referral letter

The GP referral letter should contain:

  • Duration +/- recurrence of episode(s) of perceived or clinical sinusitis
  • Response to over the counter medications/measures and prescribed medication
  • Specific experience or expectation from patients
  • Effect on quality of life
  • Relevant past medical/surgical history
  • Current regular medication
  • Occupational history
  • Advice given so far to patient
  • BMI
  • Smoking status
  • Alcohol consumption

Patient information leaflets

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