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Symptoms of sinusitis in children include: Cold or respiratory illness that has been getting better and then begins to get worse High fever, along with a darkened nasal discharge, that lasts for at least 3 days Nasal discharge, with or without a cough, that has been present for more than 10 days and is not improving Exams and Tests The health care provider will examine you or your child for sinusitis by: Looking in the nose for signs of polyps Shining a light against the sinus (transillumination) for signs of inflammation Tapping over a sinus area to find infection The provider may view the sinuses through a fiberoptic scope (called nasal endoscopy or rhinoscopy) to diagnose sinusitis

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"Everything is kind of colliding in this perfect storm, and cigarettes are a reflection of it all," Wellman says

Several cases of acute poisoning with violent and disruptive handling have been reported in emergency care and by police