Rodoma tik
0:00
S… Speaker 1 (Claire Smith)
Patient,
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S… Speaker 2 (Claire Smith)
Claire Smith,
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S… Speaker 2 (Claire Smith)
date of birth 1 -21 -79.
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S… Speaker 2 (Claire Smith)
This 20 -year -old white female presents with a complaint
0:08
S… Speaker 2 (Claire Smith)
of allergies.
0:09
S… Speaker 2 (Claire Smith)
She used to have allergies when she leaves the shuttle,
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S… Speaker 2 (Claire Smith)
but she thinks they're worse here.
0:16
S… Speaker 2 (Claire Smith)
She has tried Claritine and Zyrtec.
0:18
S… Speaker 2 (Claire Smith)
Both worked for a short time but then seemed to lose effectiveness.
0:22
S… Speaker 2 (Claire Smith)
She has used Allegra also.
0:24
S… Speaker 2 (Claire Smith)
She used it last summer and she began using it again two weeks ago.
0:28
S… Speaker 2 (Claire Smith)
It does not appear to be working very well.
0:30
S… Speaker 2 (Claire Smith)
She has used over -the -counter sprays but no prescription.
0:33
S… Speaker 2 (Claire Smith)
She does have asthma but does not require daily medication for
0:37
S… Speaker 2 (Claire Smith)
this and does not think it is flaring up.
0:40
S… Speaker 2 (Claire Smith)
Her medication currently is arthritricycline in the Allegra.
0:44
S… Speaker 2 (Claire Smith)
She has no known medicine allergies.
0:47
S… Speaker 2 (Claire Smith)
Viral's weight was 130 pounds
0:51
S… Speaker 2 (Claire Smith)
and blood pressure of 120 over 80.
0:54
S… Speaker 2 (Claire Smith)
Her throat was mildly erythematousis without exudate.
0:58
S… Speaker 2 (Claire Smith)
Nasal mucosa was erythematousis and swollen.
1:01
S… Speaker 2 (Claire Smith)
Only clear drainage was seen.
1:03
S… Speaker 2 (Claire Smith)
TMS were clear.
1:04
S… Speaker 2 (Claire Smith)
Supple neck without adenopathy.
1:07
S… Speaker 1 (Claire Smith)
Lungs clear.
1:10
S… Speaker 2 (Claire Smith)
Patients have,
1:11
S… Speaker 2 (Claire Smith)
patient has allergic rhinitis.
1:14
S… Speaker 2 (Claire Smith)
She will try Zyrtec instead of Allegra again.
1:16
S… Speaker 2 (Claire Smith)
Another option will be to use loratidine.
1:19
S… Speaker 2 (Claire Smith)
She does not think she has prescription coverage,
1:23
S… Speaker 2 (Claire Smith)
so that might be cheaper.
1:24
S… Speaker 2 (Claire Smith)
Samples of Nasonex,
1:26
S… Speaker 2 (Claire Smith)
two sprays in each nostril given for three weeks.
1:29
S… Speaker 2 (Claire Smith)
The prescription was written as well.

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