October 2017

30y female with persistent rhinorrhea Trauma


30-year-old female who developed left sided rhinorrhea following an MVC in 2015.  She received minor head trauma without loss of consciousness.  She complains of intermittent dizziness without fevers, nuchal rigidity or photophobia.  She received a sinuplasty for presumed sinusitis without improvement.  


Awake, alert
Cranial nerves II-XII are intact
Strength- 5/5 upper extremities
No sensory loss
DTR within normal limits
Flexible endoscopy: generalized wetness in posterior nasal cavity increased with leaning forward.  No obvious masses or lesions.

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