A 35-year-old woman with a history of asthma presents to your office with symptoms of nasal itching, sneezing, and rhinorrhea. She states she feels this way most days but her symptoms are worse in the spring and fall. She has had difficulty sleeping because she is always congested. She states she has taken diphenhydramine (Benadryl) with no relief. She does not smoke cigarettes and dose not have exposure to passive smoke but she does have two cats at home. On examination, she appears tired but is in no respiratory distress. Her vital signs are temperature, 98.8 degrees; blood pressure, 124/84 mmHg; pulse, 88 beats/min; and respiratory rate, 18 breaths/min, The mucosa of her nasal turbinates appears swollen (boggy) and has a pale, bluish-gray color. Thin and watery secretions are seen. No abnormalities are seen on ear examination. There is no cervical lymphadenopathy noted and her lungs are clear.

 

Be sure to listen until the end when I will be presenting four questions with multiple choice answers and check back on Friday to the May's Anatomy Podcast instagram page for the answers! 

 

Case Files: Family Medicine

 

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