GP empyema, sinusitis, and fungal rhinitis all present with ______ purulent nasal discharge.

• A. Unilateral
• B. Bilateral
• C. Bilateral with unilateral
• D. Variable

Answer: (A)

Purulent nasal discharge that points to a single side usually means the problem is localized to one sinus or nasal compartment. Ingp empyema and sinusitis involve pus accumulating in a specific sinus, and fungal rhinitis in its localized forms (like a fungal ball or localized fungal infection) similarly tends to affect one side. That side-specific infection drains purulence from that nostril, giving unilateral discharge. Bilateral discharge is more typical of diffuse, multisinus or allergic/inflammatory processes that involve both sides, while variable patterns aren’t characteristic of these localized conditions. So unilateral purulent drainage best fits these diseases.