耳鼻喉科標準病歷範本.docVIP

耳鼻喉科標準病歷範本 一.【SMP】 Chief complaint: Nasal obstruction, mouth breathing and postnasal drip for many years. Present illness: This 42 y/o male patient has suffered from unilateral right nasal obstruction, mouth breathing, and postnasal drip for many years. Watery rhinorrhea, sneezing and headache were also noted. He visited LMD and our ENT OPD for help, where deviation of nasal septum with hypertrophic inferior turbinate was noted on physical examination. He had received medical treatment but nasal obstruction persisted. He denied purulent rhinorrhea, epistaxis or with foul smell. Under the t