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Reports no recent exposure tosecondhand smokeMedical HistoryConfirmed use of medicationsConfirmed medications from previous visit(no new medications)Followed up about inhaler useUses an inhaler to treat asthmasymptomsInhaler is ProventilLast use of inhaler was last weekReports typical inhaler use is 2 - 3 times aweekReports using 2 - 3 puffs of inhaler whenused
Prescribed dosage is 2 puffsFollowed up about medications andrelieving factors for nose and eyesymptomsReports no treatment for itchy eyesReports no treatment for nasal symptomsReports no antihistamineReports no decongestantFollowed up about medications andrelieving factors for throat symptomsReports lozenges as treatmentReports lozenges reduce symptomsReports ingesting lozenges every fewhoursReports drinking water reducessymptomsConfirmed allergiesReports known allergy to catsReports known allergy to dustReports no previous problems withseasonal allergiesReview of SystemsAsked about general symptomsDenies recent or frequent illnessesDenies chillsDenies feverReports low energy levelDenies nausea or vomitingAsked about review of systems for headReports occasional headachesDenies current headacheDenies history of head injuryDenies lightheadednessFollowed up on headachesHeadaches occur once a weekHeadaches last "a few hours"Describes headaches as tight andthrobbingDescribes headache location as behindher foreheadRates headache pain as a 3 or 4Reports treating headaches with TylenolReading and studying seem to causeheadachesAsked about review of systems for eyesReports occasional blurry visionReports worsening vision
Denies eye painDenies dry eyesReports last vision exam was in childhoodDoes not use corrective lenses