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A 46-year-old female with a history or chronic rhinosinusitis presents 3 months after an endoscopic sinus surgery performed by an outside ENT. The patient complains of chronic bilateral headaches, left sided rhinorrhea, and bilateral nasal congestion. The patient notes the rhinorrhea began after her last surgery. She denies any environmental allergies. She has been treated with 2 rounds of Augmentin (875mg BID) since her surgery and one round of Prednisone (16 day taper starting at 40mg) with mild improvement in congestion but persistent headaches and rhinorrhea.


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