Symptoms And Signs /Obsolete , Evergreen And New

TENDERNESS OF THE SINUSES AS A SIGN IN THE DIAGNOSIS OF CHRONIC HEADACHE IS OBSOLETE

O P Kapoor
Ex. Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai,
Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.


Very often I see doctors pressing the frontal and maxillary sinuses with undue force to elicit tenderness in a case of chronic headache in order to establish the diagnosis of chronic sinusitis.

I have written a number of articles on this subject that this sign is diagnostic only in a patient having acute sinusitis who has a profuse nasal discharge, nasal block, and cough with a bad throat. It has absolutely no meaning in a normal person with the headache who will certainly complain of pain when you press the above areas with force specially the area over the frontal sinuses.



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