HISTORY:
for
,
, , , ,
, up to °, over
,
,
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Eyes: -R: , -L: ,
Ears: -R: , -L:
Nose:
Throat:
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
ASSESSMENT:
DDx:
PLAN:
- CT scan of sinuses
- Allergy testing
- Saline nasal irrigation
-
-
-
-
-
- Referral to otolaryngologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as severe headache, vision changes, or high fever
- Go to ER if severe headache, vision changes, or high fever occurs