Please take time to review your results and the feedback provided by Shadow Health. Compare your performance with the model note. It is important to understand where you may have missed opportunities to be more effective or enhance your skills. On the physical exam, you should have noted that the posterior pharynx was slightly erythematous with mild cobblestoning. This was a hallmark clue to the the presence of chronic postnasal drip. Cobblestoning is a widely used adjective referring to an appearance, morphology or pattern characterized by multiple, similarly-sized rounded densities that project from a single linear surface when the image is 2-D or that rise above a flattened plane when viewed in 3-D, a pattern which has been likened to pre-internal combustion engine roads paved with ‘cobbled’ stones. Therefore, the primary diagnosis of allergic rhinitis was correct. With a myriad of HEENT Physical Assessment Assignment | Completed | Shadow Health 2 of 3 11/20/2018, 5:44 PM
treatment options available on the market for AR, how did you decide to select specific medications?What treatment guidelines did you use to guide your decisions?. Let me know if you have any questions or concerns. Looking forward! Dr. O HEENT Physical Assessment Assignment | Completed | Shadow Health 3 of 3 11/20/2018, 5:44 PM
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