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H/O NASAL OBSTRUCTION-BILATERAL,GRADUAL

ONSET,PROGRESSIVE IN NATURE,CONTINOUS,AGGRAVATED

WITH EPISODES OF URTI AND RELIEVED 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 SNEEZING 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 DEFECTIVE VISION

NO H/O EPIPHORA

NO H/O BLOCKED 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 NECK

NO H/O SNORING

NO H/O NASAL REGURGITATION

NO H/O CHRONIC FEVER,COUGH WITH EXPECTORATION

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 EXCISION AND CAUTERIZATION DONE IN

PRIVATE HOSPITAL 200 AND GRH 202 MADURAI FOR

RHINOSPORIDIOSIS

-NOT A K/C/O

DIABETES,HYPERTENSION,TUBERCULOSIS,BRONCHIAL

ASTHMA,EPILEPSY.

-NO H/O DRUG INTAKE FOR ANY CHRONIC ILLNESS

-NO H/O ANY KNOWN DRUG ALLERGY/ALLERGEN

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PERSONAL HISTORY

-H/O BATHING IN POND

-NOT A ALCHOLIC NOR SMOKER/SNUFFING-NO H/O EXPOSURE TO CHEMICAL DYES,WOOD DUST.

-MIXED 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 BACK

H/O FAMILY PLANNING DONE 20 YRS BACK

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VITALS "STABLE

GENERAL EXAMINATION#

CVS-S S2 NORMAL,NO MURMURS

RS-B/L AIR ENTRY-E$UAL,NORMAL VESICULAR BREATH

SOUNDS

P/A-SOFT,NO ORGANOMEGALY

CNS-NO FOCAL NEUROLOGICAL DEFICIT

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LOCAL EXAMINATION

NOSE#

EXTERNAL CONTOUR-NO 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 EXAMINATION

- NO TENDERNESS IN

FRONTAL,ETHMOIDAL,MAXILLARY REGIONS.

EXAMINATION OF ORAL CAVITY#

- LIPS,GINGIVA,BUCCAL

MUCOSA,ANTERIOR TWOTHIRD TONGUE,HARD

PALATE,RETROMOLAR TRIGONE-NORMAL -DENTAL FORMULA-22%/22%

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EAR#

BILATERAL EXTERNAL AUDITORY CANAL-NORMAL

BILATERAL TYMPANIC MEMBRANE "INTACT

LARYNX#

IDL EXAMINATION-NORMAL STUDY

NECK# NO SIGNIFICANT LYMPH NODES,SWELLING IN NECK

OR ABNORMAL PULSATIONS

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PROVISIONAL DIAGNOSIS# RECURRENT

RHINOSPORIDIOSIS

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CT PNS

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INVESTIGATIONS#

ROUTINE BLOOD INVESTIGATIONS

ECG

X-RAY PNS

CT-PNS

DNE

MANAGEMENT#

ENDOSCOPIC COBLATION

EXCISION

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THANK YOU