A 35 year old woman presents to her general practitioner with a 10 day history of worsening nasal congestion, purulent nasal discharge, and frontal headaches. ### Ask about Rhinosinusitis (including nasal polyps) is an inflammatory condition of the nose and paranasal sinuses. Diagnosis requires at least two symptoms, one of which must be nasal discharge or obstruction, with the others comprising facial pain or smell disturbance. Acute rhinosinusitis is defined as symptoms lasting less than 12 weeks with complete resolution and can be subdivided into Chronic rhinosinusitis (with or without polyps) is defined as more than 12 weeks of symptoms without complete resolution. The following points are important within the history in acute rhinosinusitis: