مريض في اليوم الأول بعد استئصال ورم نخامي عبر الأنف، يشتكي من سائل صافٍ يقطر من الأنف عند الانحناء، وطعمه مالح، ويزيد مع الوقت. الحرارة ٣٧٫٥. ما الأرجح وما التصرف؟

On day 1 after transsphenoidal pituitary surgery a client reports clear, salty-tasting fluid dripping from the nose on bending, increasing over time. T 37.5 °C. What is most likely and what is done?

1. Normal discharge from the nasal packing
2. A CSF leak; notify, raise the head, no nose blowing
3. Allergic rhinitis needing an antihistamine
4. A common cold treated with a decongestant spray

Answer: B) A CSF leak; notify, raise the head, no nose blowing. Persistent clear fluid after transsphenoidal surgery may be CSF, raising meningitis risk. It is tested for glucose or beta-2 transferrin and reported.