12 year old child attends the ED with Mum complaining of pain behind the left eye. She has had a cough cold for the last few days but today has complained of a moderate headache and has vomited 3 times.

Sensibly, she has taken Paracetamol with some relief. The pain is frontal and made worse when she blows her nose.

O/E
TEMP 36.4
PULSE 119
BP 125/61
SATS 98%

Alert , fundoscopy is normal
There is no obvious neurological deficit.


A diagnosis of sinusitis is made and the patient allowed home with no treatment.