Page 124 - 2021 IDMT Digital

ALLERGIC RHINITIS
Introduction:
• $OOHUJLF UKLQLWLV DGYHUVHO\ DIIHFWV VFKRRO DQG ZRUN SHUIRUPDQFH FRVWLQJ DERXW ELOOLRQ
DQQXDOO\ LQ 86
• 0RVW FRPPRQO\ FDXVHG E\ SROOHQV DQG VSRUHV
• 6\PSWRPV DUH VLPLODU WR WKRVH RI YLUDO UKLQLWLV EXW DUH SHUVLVWHQW DQG PD\ VKRZ VHDVRQDO
YDULDWLRQ
• 0DQ\ SDWLHQWV QRWH D VWURQJ IDPLO\ KLVWRU\ RI DWRS\ RU DOOHUJ\

Subjective:
• 6LJQV DQG 6\PSWRPV
o ,WFKLQJ RI WKH QRVH H\HV PD\ KDYH FRQMXQFWLYDO K\SHUHPLD DQG H[FHVVLYH WHDULQJ
o 1DVDO FRQJHVWLRQ KHDG IXOOQHVV
o 'HFUHDVHG VHQVH RI VPHOO
o &RXJK DQG VQHH]LQJ LI SRVW QDVDO GULS
• )RFXVHG +LVWRU\
o /HQJWK RI V\PSWRPV FRORU RI GUDLQDJH XVH RI QDVDO VSUD\ KHDG RU QDVDO WUDXPD
IDPLO\ KLVWRU\
Objective:
• 3K\VLFDO ([DP
o ([DPLQH WKH DQWHULRU DQG SRVWHULRU QDVDO FDYLW\ SRVWHULRU RUDO SKDU\Q[ DQG HDUV
o 3DOSDWH WKH VLQXVHV DQG O\PSK QRGHV
o $XVFXOWDWH OXQJV
o 1DVDO SRO\SV LI ORQJ VWDQGLQJ
o (U\WKHPDWRXV QDVDO PXFRVD DQG WXUELQDWHV
Assessment:
• 'LIIHUHQWLDO
o 9DVRPRWRU UKLQLWLV FOHDU UKLQRUUKHD LQ UHVSRQVH WR QDVDO VWLPXOL PXFRVD XVXDOO\
SDOH
o ,QIHFWLRXV UKLQLWLV QDVDO GLVFKDUJH DVVRFLDWHG ZLWK FRPPRQ FROG RU YLUDO LOOQHVV
VRUH WKURDW
o 5KLQLWLV PHGLFDPHQWRVD RYHUXVH RI QDVDO GHFRQJHVWDQWV ZLWK UHERXQG
V\PSWRPV
o 1DVDO IRUHLJQ ERG\ XQLODWHUDO GLVFKDUJH YLVLEOH
o 6LQXVLWLV VLQXV SDLQ IXOOQHVV SXUXOHQW GLVFKDUJH

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