Allergic Rhinitis Evaluation

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Info

Are you evaluating a patient with allergic rhinitis?

Yes No

Symptoms noted in the evening day 1

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Symptoms noted in the morning day 2

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Symptoms noted in the evening day 2

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Symptoms noted in the morning day 3

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Symptoms noted in the evening day 3

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Symptoms noted in the morning day 4

Nasal itching sensation

Select

Sneezing

Select

Nasal stuffiness and congestion

Select

Rhinorrhea, nasal discharge, running

Select

Cough

Select

Allergic Rhinitis Evaluation

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Results

Data complete?

Evaluation appropriate?

Nasal symptom score for PM day 1

Nasal symptom score for AM day 1

Nasal symptom score for PM day 2

Nasal symptom score for AM day 2

Nasal symptom score for PM day 3

Nasal symptom score for AM day 4

Total nasal symptom score

Total cough score

Overall symptom score

Caution: A qualified health practitioner should verify all results. Keep patient data confidential and comply with all legal requirements.

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Allergic Rhinitis Evaluation

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Purpose:

To monitor a patient with allergic rhinitis using the total nasal symptom score, cough score and overall symptom score of Gawchik et al.

Specialty

Immunology/Rheumatology

Objective

Severity
Prognosis
Stage

ICD-10

References

Interpretation and Description

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