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NRNP 6550 I-HUMAN CASE STUDY:
ENVIRONMENTAL ALLERGIC RHINITIS
MANAGEMENT – DIFFERENTIAL DIAGNOSIS,
ENVIRONMENTAL TRIGGERS, AND
PREGNANCY-SAFE TREATMENT (GRADED A+
GUIDE)
## 1. Case Summary (i-Human Patient Profile)
- **Patient:** Jessica R., 34 years old
- **Gestational age:** 28 weeks, G3 P1011
- **Chief complaint:** *“I can’t stop sneezing, my nose is always
stuffed, and my eyes itch constantly. It’s worse at home and at night.”*
- **History:** Seasonal allergies (spring/fall) since age 19. Mild
intermittent asthma (no controller meds).
- **Home environment:** 1920s home, forced-air heat, unfinished
basement (musty smell), 2 dogs (sleep in bedroom), wall-to-wall
carpeting in all bedrooms.
- **Medications tried:** OTC diphenhydramine (causes excessive
drowsiness), saline spray (no relief).
- **No fever, no purulent drainage, no sick contacts.**
---
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## 2. Key Subjective Findings (OLDCARTS for i-Human Data Entry)
| Parameter | Patient Response |
|-----------|------------------|
| Onset | 4 weeks ago (early spring) |
| Location | Nose, eyes, throat, chest (mild tightness) |
| Duration | Daily, persistent >4 weeks |
| Character | Clear rhinorrhea, sneezing (5–10× in a row), watery eyes,
postnasal drip |
| Aggravating | Lying down in bedroom, vacuuming, opening windows |
| Relieving | Leaving home for work, showering, being outdoors
(paradoxical – suggests indoor allergens) |
| Treatments | Diphenhydramine 25 mg at bedtime – helps sneezing but
not congestion |
| Severity | 7/10 for nasal symptoms; 3/10 for chest tightness |
**i-Human documentation tip:** Enter *“symptoms worse indoors,
especially bedroom”* → this prompts the environmental evaluation
section.
---
NRNP 6550 I-HUMAN CASE STUDY:
ENVIRONMENTAL ALLERGIC RHINITIS
MANAGEMENT – DIFFERENTIAL DIAGNOSIS,
ENVIRONMENTAL TRIGGERS, AND
PREGNANCY-SAFE TREATMENT (GRADED A+
GUIDE)
## 1. Case Summary (i-Human Patient Profile)
- **Patient:** Jessica R., 34 years old
- **Gestational age:** 28 weeks, G3 P1011
- **Chief complaint:** *“I can’t stop sneezing, my nose is always
stuffed, and my eyes itch constantly. It’s worse at home and at night.”*
- **History:** Seasonal allergies (spring/fall) since age 19. Mild
intermittent asthma (no controller meds).
- **Home environment:** 1920s home, forced-air heat, unfinished
basement (musty smell), 2 dogs (sleep in bedroom), wall-to-wall
carpeting in all bedrooms.
- **Medications tried:** OTC diphenhydramine (causes excessive
drowsiness), saline spray (no relief).
- **No fever, no purulent drainage, no sick contacts.**
---
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## 2. Key Subjective Findings (OLDCARTS for i-Human Data Entry)
| Parameter | Patient Response |
|-----------|------------------|
| Onset | 4 weeks ago (early spring) |
| Location | Nose, eyes, throat, chest (mild tightness) |
| Duration | Daily, persistent >4 weeks |
| Character | Clear rhinorrhea, sneezing (5–10× in a row), watery eyes,
postnasal drip |
| Aggravating | Lying down in bedroom, vacuuming, opening windows |
| Relieving | Leaving home for work, showering, being outdoors
(paradoxical – suggests indoor allergens) |
| Treatments | Diphenhydramine 25 mg at bedtime – helps sneezing but
not congestion |
| Severity | 7/10 for nasal symptoms; 3/10 for chest tightness |
**i-Human documentation tip:** Enter *“symptoms worse indoors,
especially bedroom”* → this prompts the environmental evaluation
section.
---
