AR and recurrent sinusitis Hx, severe frequent cough for 1+ week, yellowish sputum, severe nasal stuffiness with thick purulent rhinorhrea for 1 week, PND severe, sniff and thick purulent sputum clearout, poor sleep need sitting up due to NO and midnight PND cough, s/p other clinic Tx but s/s feel worsening, PE: yell PND (+), bil maxilla tenderness (+), yellowish thick nasal discharge was suctioned out A: acute bacterial sinusitis P: 1. ENT local Tx 2. oral Augmentin for sinusitis