Children’s Sinusitis Guideline in Iambic Pentameter

The American Academy of Pediatrics acute sinusitis guideline was too complex for limerickification, and even resisted sonnet format, so here it is in iambic pentameter.

Nasal discharge’s mostly allergic or viral

And thus needs only symptomatic care

With no need for an antimicrobial trial

Unless high-risk and flu virus is there.

 

Only think sinusitis as a cause

In three scenarios based on the patient’s tale

Note none involve a mucus color clause

So green snot counts not–neither dark nor pale.

 

First, symptoms exceed 10 days and don’t improve

Or second, improve but then thereafter worsen

(‘Tho this usually means that in has moved

A second virus attacking the same poor person).

 

Third is when the onset is severe

With fever 39 degrees or higher

And nasal discharge purulent not clear

Both unrelenting for three days required.

 

For children meeting persistent criteria

Consider observing three days more

And, weighing risks such as diarrhea,

Start antibiotics only if symptoms endure.

image

 

 

Advertisements

One thought on “Children’s Sinusitis Guideline in Iambic Pentameter

  1. Pingback: Will prevention ever be sexy? | Marion R. Sills, MD, MPH

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s