Rhinology Q9

A 13-year-old girl presents to the GP with nasal problems. She has a history of recurrent sinusitis and hay fever.

Which of the following aspects of the history would indicate the need for an urgent ENT referral?

  • A) Bilateral thick yellow nasal discharge and post nasal drip
  • B) Nasal congestion worse on waking
  • C) Reduced sense of smell and taste
  • D) Unilateral bloodstained nasal discharge
  • E) Facial discomfort worse when bending over