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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":282,"meta":353,"internal":363},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":251,"author":272,"readDuration":280,"readDurationFormatted":281},"Diagnosing sinus headaches","In this video, we use the International Classification of Headache Disorders criteria to diagnose sinus headaches by differentiating sinus-related headaches from migraines. ",{"id":215,"name":216},1,"Course previews",[218,228,233,238,246],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},266,{"platform":223,"name":212,"url":224,"size":225},"YouTube","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=biqgnBxAIo4",{"width":226,"height":227},200,113,{"type":229,"data":230},"free_text",{"readDurationInSeconds":231,"text":232},12.533333333333333,"\u003Cp>Over 50% of patients who have migraine headaches also have nasal symptomatology. Unless the clinician assesses a patient for findings associated with migraines, a diagnosis of sinus headache may be made when a migraine is actually present. In this video, we use the International Classification of Headache Disorders criteria to diagnose sinus headaches by differentiating sinus-related headaches from migraines. \u003C\u002Fp>",{"type":229,"data":234},{"readDurationInSeconds":235,"title":236,"text":237},17.333333333333332,"Join our Headaches Masterclass course now!","\u003Cp dir=\"ltr\">Our \u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourse\u002Fheadaches-masterclass\">Headaches Masterclass course\u003C\u002Fa> outlines an approach that will guide your evaluation of patients with headaches. This course will provide you with the knowledge and skills you need to recognize and categorize primary headaches accurately, the warning signs of ominous headaches (and those caused by medical conditions), and will teach you how to help your patients to help themselves by recognizing their triggers and adopting lifestyle changes.\u003C\u002Fp>",{"type":239,"data":240},"cta",{"readDurationInSeconds":241,"text":242,"buttonText":243,"buttonUrl":244,"teachIllustration":245},3.466666666666667,"Start the first chapter of our Headaches Masterclass course for free","Start chapter 1 now","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister?target=%2Fcourses%2Fheadaches-masterclass","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55e85-e3cc-4f4d-ac02-848da1734404",{"type":229,"data":247},{"readDurationInSeconds":248,"title":249,"text":250},90.39999999999999,"Video transcript","\u003Cp>There is a common belief among patients and some clinicians, that sinusitis is present and causing a headache whenever there is pain over the sinuses. One can define sinus headache as pain over the sinus region of the face, especially the maxillary area and the periorbital region. The pain can vary, and might even be pulsatile in nature.\u003C\u002Fp>\u003Cp>Applying pressure over the sinuses may induce discomfort in sinus infection, and sinus headaches. Facial pain and pressure is typically thought of as one of the classic signs of sinusitis. However, it is only one of the major criteria. The major criteria include: purulence in the nasal cavity, facial pain, pressure, congestion or fullness, nasal obstruction, blockage or discharge hyposmia and anosmia, fever, ear pain and fullness.\u003C\u002Fp>\u003Cp>The minor features include: headache, fatigue, halitosis, cough or dental pain. Two major criteria, or one major criteria and two minor criteria are needed to support a diagnosis. The most likely locations for sinusitis are within the maxillary and ethmoid sinuses. Sphenoid sinusitis is more difficult to diagnose, is more significant in terms of morbidity, and the symptoms are slightly different.\u003C\u002Fp>\u003Cp>There is usually some abnormality on the CT scan, demonstrating mucosal thickening, clouding, sclerosis, and perhaps air fluid levels in the ethmoid sinuses. However, CT is not specific for bacterial sinusitis. The usual treatment for acute sinusitis is broad spectrum oral antibiotics for 10 to 14 days.\u003C\u002Fp>\u003Cp>To treat the bacterial infection. Use local agents such as nasal decongestant sprays, which can reduce nasal tissue swelling, or oral decongestants. The spray should only be used for a few days to reduce rebound edema, and swelling. Surgical drainage may be necessary for refractory cases. Some primary headache syndromes of rhinorrhea-like symptoms.\u003C\u002Fp>\u003Cp>A complaint of nasal congestion, as well as the patient noting improvement with sinus medication often leads to an incorrect diagnosis of sinus headache. More than 50% of patients who have migraine also have nasal symptomatology. The American Migraine Study II, demonstrated that 42% of patients with all the criteria of migraine had been previously diagnosed with sinus headaches.\u003C\u002Fp>\u003Cp>Unless the clinician assesses the patient for findings associated with migraine, such as nausea, photophobia, phonophobia, laterality, throbbing pain, and aggravation with activity. The diagnosis of sinus headache may be made when migraine is actually present. Thus, to differentiate migraine, and sinus headaches, the clinician must assess using the international Headache Society International Classification of Headache Disorders criteria.\u003C\u002Fp>",{"courses":252,"showAwardsBelow":48},[253],{"id":254,"isFreeCmeCourse":255,"title":256,"type":257,"specialization":258,"teachers":260,"cmeCredits":262,"teacherIllustration":245,"backgroundImage":263,"relativeUrl":264,"lastChanged":265,"created":266,"description":267,"relativeURL":264,"meta":268},6643,false,"Headaches Masterclass","course",[259],"Neurology and Psychiatry",[261],"Robert J. Coni, DO EdS FAAN",4,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55e86-df07-4125-b4ba-c61469176fbd","\u002Fcourses\u002Fheadaches-masterclass","1773315100","1598210651","Headaches are one of the most common complaints seen by physicians in practice. This course outlines an approach to guide your evaluation of the patient with headaches, provides the knowledge and skills to recognize and categorize primary headaches accurately, outlines the warning signs of ominous headaches, and teaches you how to help your patient recognize triggers and adopt lifestyle changes.",{"duration":269,"quizzes":270,"lessons":271},10059,5,41,{"id":273,"name":261,"image":274,"profession":275,"relativeUrl":278,"specializations":279},5979,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cefd-3bc0-4529-b29b-390524af305c",{"name":276,"description":277},"Neurologist","Robert is Associate Professor of Preclinical Medicine and Neurology at \nBurrell College of Osteopathic Medicine in Melbourne, Florida.","\u002Fteachers\u002Frobert-j-coni-do-eds-faan",[259],130,"3m",[283,309,328],{"id":284,"title":285,"text":286,"image":287,"author":295,"path":303,"readDuration":304,"readDurationFormatted":281,"internal":305},1350,"How to Recognize INOCA (ANOCA) on an Exercise Stress Test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. Learn to recognize and report it with exercise stress ECG.",{"alt":288,"title":289,"size":290,"location":292},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).","",{"width":291,"height":291},1200,{"bucket":293,"key":294},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":296,"title":297,"relativeURL":298,"image":299,"professionLong":300,"profession":301,"weight":262},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":302},"Internist","\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,{"created":306,"updated":307,"published":308},1778115738,1778118425,1778118255,{"id":310,"title":311,"text":312,"image":313,"author":319,"path":321,"readDuration":322,"readDurationFormatted":323,"internal":324},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":314,"title":289,"size":315,"location":317},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":316,"height":316},600,{"bucket":293,"key":318},"\u002F2026-04\u002FC121_magazine image.png",{"id":296,"title":297,"relativeURL":298,"image":299,"professionLong":300,"profession":320,"weight":262},{"name":302},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":325,"updated":326,"published":327},1777403036,1777572381,1777412421,{"id":329,"title":330,"text":331,"image":332,"author":337,"path":346,"readDuration":347,"readDurationFormatted":348,"internal":349},1347,"Outpatient care for COPD exacerbations","Most acute COPD exacerbations can be managed with outpatient treatment. Learn how to treat mild and moderate COPD exacerbations—and when to escalate care.",{"alt":333,"title":289,"size":334,"location":335},"Older patient using a handheld nebulizer to inhale bronchodilator medication during an acute COPD exacerbation",{"width":316,"height":316},{"bucket":293,"key":336},"\u002F2026-04\u002FC133(4)_ exacerbations_magazine image.png",{"id":338,"title":339,"relativeURL":340,"image":341,"professionLong":342,"profession":343,"weight":345},5365,"Siamak Moayedi, MD","\u002Fteachers\u002Fsiamak-moayedi-md","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf02-1064-4074-817b-0eb5de6ded74","Professor and Director of Medical Student Education, University of Maryland and Course Director, Essential and Critical Procedures, Emergency Medicine.",{"name":344},"Emergency medicine physician",1533,"\u002Fmagazine\u002Facute-copd-exacerbation-treatment",191,"4m",{"created":350,"updated":351,"published":352},1776705362,1776710540,1776710541,{"seo":354,"og":356},{"title":355,"description":213},"Diagnosing sinus headaches | Medmastery",{"title":355,"description":213,"image":357},{"alt":289,"title":289,"size":358,"location":361},{"width":359,"height":360},606,364,{"bucket":293,"key":362},"\u002Fmigrated-images\u002F05-diagnosing-sinus-headaches-headaches-masterclass-preview.png",{"id":364,"created":365,"updated":366,"published":365},359,1600020430,1655189586]