Clear Rhinorrhea in Surgery — 9yo Child | ENT | SMLE Q#12170

SMLE Question #12170

Surgery ENT

Objective: OBJ-ENT-POSTOP-BLEED

Last updated: February 2026
A 9-year-old boy has 1 day of worsening nasal congestion, thick yellow-green nasal discharge, frontal headache, and facial pressure that disrupts sleep. One week ago, he had a mild upper respiratory illness with clear rhinorrhea, sneezing, and low-grade fever that improved after 4 days, followed by 3 symptom-free days. He has frontal sinus tenderness on palpation and no history of asthma or seasonal allergies. What is the most likely diagnosis?

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