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Rhinitis

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Rhinitis Management Algorithm ÎMajor decision points for the appropriate evaluation and treatment of patients with suspected rhinitis (refer to Figure 1).1 Figure 1. Treatment Algorithm1 Patient with symptoms of rhinitis YES (see Tables 3, 4, 5, & 6) for allergic rhinitis symptoms Therapeutic trial (see Tables 3, 4, 5, & 6) Therapeutic trial for non-allergic rhinitis symptoms History suggestive of allergic rhinitis? NO YES Does patient respond? NO Further follow-up, meets consultation criteria? YES Consultation with an allergist-immunologist YES Management of allergic rhinitis: > Avoidance/environmental control > Adjust medication > Consider immunotherapy > Patient education Cooperative follow-up non-allergic rhinitis Management of (history & skin test correlation) NO an allergic basis for rhinitis? Does patient have Y FOR INTERNAL USE ONLY

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