Sinus tenderness
Sinusitis occurs with nasal congestion, runny nose, headache, and sinus tenderness. Patients with acute sinusitis may be accompanied by fever and general discomfort. Nasoscopy or nasal endoscopy showed congestion and swelling of the nasal mucosa, purulent secretions in the middle nasal passage or olfactory cleft, and tenderness in each corresponding sinus area.
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