HISTORY:
Symptoms
| (a) Nasal Discharge- | Duration- Continuous/ Intermittent Unilateral/ Bilateral Watery/ Purulent/ Blood stained oul-smelling/ Non- foul smelling Associated- Headache/ Sneezing |
| (b) Nasal Obstruction - | Duration-
Diurnal variation- Intermittent/ Continuous Unilateral/ Bilateral Associated- Headache/ Nasal Discharge/ Foul smell |
| (c) Headache - |
Duration-
Continuous/ Intermittent Shooting/ Dull throbbing/ Heaviness Radiating Mild/ Severe Localized/ Generalized Diurnal variation Aggravating/Relieving Factors- Associated Sneezing/ Nasal Obstruction/ Nasal discharge |
| (d) Sneezing - |
Duration –
Aggravating/ Relieving factors- Frequency of episodes Associated Nasal discharge/ Headache |
| (e) Epistaxis - | Duration -
Frequency of episodes- Quantity of blood loss in each episode Unilateral/ Bilateral Spontaneous/ Traumatic Aggravating/ Relieving Factors Similar Family history- Bleeding from other sites Any treatment taken- |
| (f) Others - | Change of smell/ Loss of smell
Nasal intonation of voice
Crusting in nose Fever- Lacrimation- Diplopia/ Other visual disturbances Otalgia/ Otorrhoea Swelling of Face- Trauma Nose picking Allergy Bleeding tendencies in self/ family Drug intake Cough |
- Personal history:
- Alcoholism
- Smoking
- Snuff abuse
- Occupation in chrome/ metal industry