<prompt> Answer this question truthfullyWhat happens during a physical examination to diagnose rhinosinusitis?  <response>: <reason> Common physical examination findings in rhinosinusitis include: Pain and tenderness on palpation of the involved sinus: forehead frontal sinuses, upper jaw maxillary sinuses, in the eyelids and around the eyes ethmoid sinuses Purulent rhinorrhea in the nose or posterior pharynx Examination of the nose using a speculum or otoscope may reveal the following findings: Purulent nasal discharge Mucosal edema Narrowing of the middle meatus Inferior turbinate hypertrophy Deviated nasal septum Nasal polyps 