رجل عمره ٥٢ سنة بعد جراحة النخامية عبر الأنف، عنده حشوة في الأنف، ويستعد للخروج بعد يومين. يحب يصلي ويسجد كثيراً، ويقول إن عنده زكام وحساسية. أي تعليمات صحيحة؟

A 52-year-old man after transsphenoidal pituitary surgery has nasal packing and will go home in two days. He prays frequently with prostration and says he has a cold and allergies. Which instructions are correct?

1. Clean inside the nose with a soft toothbrush
2. No nose blowing, closed-mouth sneezing or bending
3. Bend to tie shoes from day one
4. Blow the nose hard to clear blood

Answer: B) No nose blowing, closed-mouth sneezing or bending. These raise pressure and can cause a CSF leak from the surgical site. Clear nasal drip or a salty taste in the throat is reported.