Ihuman Acute Sinusitis Case Study (2026/2027) | 42-Year-Old Male

iHuman Acute Sinusitis Case Study (2026/2027) | 42-Year-Old Male Sinus Symptoms | Full HPI, ROS, Physical Exam, Diagnosis & Treatment PlanHistory of Present Illness (HPI) - Optimal Responses To achieve full credit in the simulation, the following questions should be asked: HPI Question Expected Patient Response When did the symptoms begin? About 7 days ago Have symptoms been getting better or worse? They have been getting worse Where exactly is the pain located? Forehead and cheeks How would you describe the pain? Pressure and fullness Does anything make the pain worse? Bending forward or leaning down Does anything relieve the pain? Slight relief with acetaminophen Do you have nasal discharge? Yes, thick yellow-green mucus Have you had fever or chills? Yes, fever around 101F Are you experiencing tooth pain? Yes, upper teeth ache Do you have congestion or difficulty breathing through the nose? Yes, both nostrils feel blocked These questions allow the provider to differentiate viral rhinosinusitis from bacterial sinusitis, which is essential for diagnostic accuracy1. Introduction Acute sinus symptoms are a common reason for outpatient and primary care visits. Distinguishing between viral rhinosinusitis and acute bacterial rhinosinusitis (ABRS) is critical for proper management and prevention of complications. This case