Case sheet

It is essential to document all cases in al possible formats and hence this form is organised for the doctors to be well prepared before procedure.

01 Personal Details
  • Name
  • Age
  • Contact numbers
  • Address
02 Symptom Analysis of Nasal Pathology
  • Chronicity
  • Nasal congestion, obstruction
  • Sneezing
  • Runny nose
  • Facial pain
  • Reduced ability to smell
  • Loss of taste
  • Itching around the eyes
  • Chronic infections
  • Persistent stuffiness
  • Post nasal drip
  • Decreased or absent smell
  • Pain in the upper teeth
  • Sense of pressure over the forehead and face
  • Snoring breathing trouble at night
03 Symptoms of Chronic Tonsilitis
  • Throat pain and referred ear pain
  • Swallowing difficulty
  • Fever
  • Chills
  • Coughing
  • Headache
  • Muscle pain
  • Feeling unwell
  • Red swollen tonsils
  • Presence of pus on tonsils
  • Bad breath
  • Swelling of neck lymph nodes
  • Nausea
  • Vomiting
  • Hoarseness
  • Coating over tongue
  • Difficulty to open mouth
  • Throat discomfort dryness

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