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Table 5 Williams Prediction Rule Based on Signs and Symptoms of ABRS [25]

From: Canadian clinical practice guidelines for acute and chronic rhinosinusitis

Sign or Symptom

Likelihood Ratio (LR) (present)

Maxillary toothache

2.5

Poor response to antihistamines/decongestants

2.1

Purulent nasal secretions

2.1

Abnormal transillumination

1.6

Colored nasal discharge

1.5

  1. Presence of ≥4 symptoms has a positive LR of 6.4.