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A 25-year-old woman presents to the urgent care clinic for cough for the past five days. She recently moved to the area and has not yet established a primary care doctor. She has noticed worsening runny nose with congestion, sneezing, and tearing over the past few days. She initially thought that it was just due to dust from moving boxes into her new apartment, but her symptoms did not improve after cleaning her belongings and vacuuming her floor. She feels some relief after splashing her face with cold water, but her symptoms recur within ten minutes. She has no pets and does not take any medications. Her physical exam reveals examples of findings shown in Figures A-C. No rales or wheezes are appreciated on lung auscultation, but bronchial breath sounds are heard at the bases. The patient states that she will need to drive back home after this visit. What is the best initial step in management?
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A 20-year-old female presents to your clinic for evaluation. She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally. In addition, she reports frequent watery and itchy eyes, as well as daily sneezing. Her temperature is 100.1 deg F (37.8 deg C), blood pressure is 120/70 mmHg, pulse is 70/min, and respirations are 15/min. On exam, you note edematous, boggy turbinates with watery rhinorrhea. Which of the following is a treatment for the patient’s condition?
A 35-year-old woman presents to an outpatient clinic during winter for persistant rhinorrhea. She states it is persistent and seems to be worse when she goes outside. Otherwise, she states she is generally healthy and only has a history of constipation. Her temperature is 98.7°F (37.1°C), blood pressure is 144/91 mmHg, pulse is 82/min, respirations are 14/min, and oxygen saturation is 98% on room air. Nasal sputum cytology reveals eosinophilia and boggy turbinates. Which of the following is the most likely diagnosis?