Runny Nose
Age: years old
Gender:
HISTORY:
Presents with a - history of runny nose
Described as , ,
Pattern
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, of phlegm
, , , ,
, up to °, over
Contributing factors:
no history of: , , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Ears: tympanic membranes , auditory canal on , hearing
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
ASSESSMENT:
DDx: viral URI, common cold, sinusitis, allergic rhinitis, non-allergic rhinitis, nasal polyps, foreign body in the nose, deviated septum, drug-induced rhinitis, pregnancy-related rhinitis, environmental irritants, acute bacterial rhinosinusitis, chronic rhinosinusitis, COVID-19, influenza, CSF leak
PLAN:
Investigations:
- Allergy testing
- CT scan of the sinuses
Treatments:
-
-
-
-
-
- Avoidance of irritants and allergens
Further care:
- Referral to allergist
- Referral to ENT specialist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as facial pain, fever, or persistent headache
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: