Allergic rhinitis Quiz: Ace Your Exams
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A 32-year-old man presents to the primary care office for evaluation of clear rhinorrhea, itchy nose and sneezing for the last eight weeks. Symptoms recur yearly around spring season and usually last for three months. The patient has no fever, facial pain, or fatigue. The patient has been sleeping well but is frequently blowing his nose and clearing his throat at least 5 out of seven days of the week. The patient had asthma as a child but has since grown out of it. Temperature is 37.0°C (98.6°F), pulse is 74/min, respiratory rate is 16/min, and blood pressure is 118/72 mmHg. Nasal examination reveals edematous turbinates bilaterally with clear rhinorrhea and post-nasal drip. There is no facial tenderness or cervical lymphadenopathy. Cardiopulmonary examination is within normal limits. Which of the following is the best next step in management?
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