Case Presentation Scribd
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HISTORY OF PRESENTING
ILLNESS
NASAL BLEED 2 YRS
ON AND OFF
ASSC. WITH FORCIBLE NASAL BLOW
LAST EPISODE YESTERDAY MORNING(19/1/2016)
SCANTY AMOUNT
RECURRENT RESPIRATORY TRACT INFECTION
2 TO ! EPISODES EACH MONTH
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H/O NASAL OBSTRUCTIONBILATERAL"GRADUAL
ONSET"PROGRESSI#E IN NATURE"CONTINOUS"AGGRA#ATED
WITH EPISODES OF URTI AND RELIE#ED WITH NASAL
DECONGESTANTS FOR PAST TWO YEARS
H/O NASAL DISCHARGE BILATERAL"ONLY DURING TIMES OF
URTI "WHICH IS MUCOPURULENT"NOT ASSOCIATED WITH
ODOUR.
NO H/O SNEE$ING BOUTS
NO H/O NASAL SWELLING
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NO H/O NASAL PAIN
NO H/O HEADACHE
NO H/O TRAUMA TO NOSE
NO H/O DEFECTI#E #ISION
NO H/O EPIPHORA
NO H/O BLOC%ED SENSATION OF EAR/EAR ACHE
NO H/O EAR DISCHARGE
NO H/O TRISMUS/DIFFICULTY IN CHEWING
NO H/O DYSPHAGIA
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NO H/O FACIAL PAIN NO H/O SWELLING IN NEC%
NO H/O SNORING
NO H/O NASAL REGURGITATION
NO H/O CHRONIC FE#ER"COUGH WITH E&PECTORATION
NO H/O LOSS OF WEIGHT AND LOSS OF APPETITE
NO H/O LOOSENING OF TEETH
NO H/O SLEEP DISTURBANCES
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PAST HISTORY
H/O ENDOSCOPIC E&CISION AND CAUTERI$ATION DONE IN
PRI#ATE HOSPITAL 2010 AND GRH 2012 MADURAI FOR
RHINOSPORIDIOSIS
NOT A %/C/O
DIABETES"HYPERTENSION"TUBERCULOSIS"BRONCHIAL
ASTHMA"EPILEPSY.
NO H/O DRUG INTA%E FOR ANY CHRONIC ILLNESS
NO H/O ANY %NOWN DRUG ALLERGY/ALLERGEN
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PERSONAL HISTORY
H/O BATHING IN POND
NOT A ALCHOLIC NOR SMO%ER/SNUFFINGNO H/O E&POSURE TO CHEMICAL DYES"WOOD DUST.
MI&ED DIET
BOWEL AND BLADDER HABITS NORMAL
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FAMILY HISTORY
NO H/O SIMILAR ILLNESS RUNNING IN FAMILY MEMBERS
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MENSTRUAL HISTORY
LMP ' MONTHS BAC%
H/O FAMILY PLANNING DONE 20 YRS BAC%
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#ITALS STABLE
GENERAL E&AMINATION
C#SS1 S2 NORMAL"NO MURMURS
RSB/L AIR ENTRYEUAL"NORMAL #ESICULAR BREATH
SOUNDS
P/ASOFT"NO ORGANOMEGALY
CNSNO FOCAL NEUROLOGICAL DEFICIT
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LOCAL E&AMINATION
NOSE
E&TERNAL CONTOURNO DEFORMITY
NO SWELLING
NO COLUMELLAR RETRACTION
NO NASOLABIAL FOLD OBLITERATION
NO WIDENING OF BRIDGE OF NOSE
NO WIDENING OF INTERCANTHAL
DISTANCE
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PARANASAL SINUSES E&AMINATION
NO TENDERNESS IN
FRONTAL"ETHMOIDAL"MA&ILLARY REGIONS.
E&AMINATION OF ORAL CA#ITY
LIPS"GINGI#A"BUCCAL
MUCOSA"ANTERIOR TWOTHIRD TONGUE"HARD
PALATE"RETROMOLAR TRIGONENORMAL DENTAL FORMULA212!/212!
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EAR
BILATERAL E&TERNAL AUDITORY CANALNORMAL
BILATERAL TYMPANIC MEMBRANE INTACT
LARYN&
IDL E&AMINATIONNORMAL STUDY
NEC% NO SIGNIFICANT LYMPH NODES"SWELLING IN NEC%
OR ABNORMAL PULSATIONS
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PRO#ISIONAL DIAGNOSIS RECURRENT
RHINOSPORIDIOSIS
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CT PNS
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IN#ESTIGATIONS
ROUTINE BLOOD IN#ESTIGATIONS
ECG
&RAY PNS
CTPNS
DNE
MANAGEMENT
ENDOSCOPIC COBLATION
EXCISION
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THAN% YOU