CHART NOTE
There is a 7-year history of rather severe rhinitis, beginning each Memorial Day and ending each July 4. She has no associated chest symptoms. Over-the-counter medicines have given little relief and are somewhat soporific. Physical examination revealed quite allergic-looking nasal mucosa and conjunctivae. I started her on Vancenase, Opticrom, Nasalcrom, and Dallergy tablets. I do not think because of the short period of her season that there is any reason to do skin testing or to consider allergen immunotherapy. Hopefully these medicines will control her symptoms and she can have them once yearly to control that short period. If her symptoms start to occur during a longer period of time, it would then be appropriate to consider possible immunotherapy.
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