Table 9.

Symptoms associated with the diagnosis of rhinosinusitis^*

Major symptoms •Purulent anterior nasal drainage •Purulent-discolored posterior nasal drainage •Nasal obstruction-blockage •Facial congestion-fullness •Facial pain-pressure-fullness •Hyposmia-anosmia •Fever (acute only)

Minor symptoms •Headache •Ear pain-pressure-fullness •Halitosis •Dental pain •Cough •Fever (all nonacute) •Fatigue

^*A diagnosis of rhinosinusitis is probable if 2 or more major symptoms or 1 major symptom and 2 or more minor symptoms are present. Facial pain-pressure-fullness alone does not constitute a suggestive history in the absence of another major nasal symptom or sign. Fever alone in acute sinusitis does not constitute a strongly suggestive history in the absence of another major nasal symptom or sign.