The Runny Nose in the Emergency Department: Rhinitis and Sinusitis

Children are commonly brought to the emergency department because of acute and chronic rhinorrhea. The evaluation and management of this condition can be frustrating to both the health care provider and the parent. Most of the cases are either self-limited or respond well to appropriate therapy. Although most causes of rhinorrhea in children are benign, the symptoms can have significant effects on the quality of life of the patients and their families. Rarely, rhinorrhea can be a symptom of a serious underlying medical condition. Distinguishing viral-induced rhinorrhea from other causes can be difficult because there often exists a large overlap in symptoms and distinguishing features may be subtle. A careful history and physical examination are the key to accurate diagnosis and will help direct the most effective treatment.