Rhinitis in general practice

Abstract

A 3 year old boy presented with a 3 week history of nasal obstruction, clear rhinorrhea, difficulty with feeding and a productive cough. Child was afebrile, had occasional watery itchy eyes and mother claimed that at night he tended to wake up a couple of times coughing and crying. He suffered from eczema as a baby. On examination he had clear rhinorrhoea, nasal mucosa appeared red, ear drums looked slightly pink, tonsils swollen yet normal colour, cervical lymph nodes absent.