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Abstract:
A 54-year-old female presents with 3 years of bilateral nasal congestion. She describes this as trouble breathing through her nose. Her nasal congestion can occur on both sides of her nose and often alternates. She sometimes has thin, clear, nasal drainage from both nostrils and mild decrease in sense of smell. She has not noticed any particular pattern or seasonality to her symptoms..
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Discussion
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After decongesting the nasal mucosa, examine the nose, then decide where you from there.
Respond for high dose steroid treatment nasally and systematically…
Needs CT scan nose and paranasal sinuses without contrast .
Q1 Does the patient need to open mouth to breathe?
Q2 Does the patient have post nasal drip?
Q3 Could you, please provide more details about the patient’s olfactory?
Q4 Could you please offer the patient’s medication history?
CRS with nasal polyps
Has the patient been offered an in-depth assessment of the nasal microbiota and the function of the trigeminal system with identification of the nasal tactil sensitivity threshold?