Chronic Rhinitis Diagnostics and Treatment Plan


Differential Diagnoses

Chronic sinusitis (ICD-10-CM Diagnosis Code J32) (ICD10 Data, 2017c, para. 1).

The patient reported inflammation of paranasal sinuses and nasal mucosa that has been lasting for 3 months. The presence of such inflammation for at least 12 weeks is a sign of chronic rhinitis (Shi et al., 2015). The other symptoms that point to this condition are the presence of nasal congestion and nasal discharge (Bachert et al., 2014). Sinusitis can develop due to infective and non-infective causes (Malaty, 2016).

Allergic rhinitis, unspecified (ICD-10-CM Diagnosis Code J30.9) (ICD10 Data, 2017a, para. 1).

Airflow obstruction is also a sign of allergic rhinitis; however, in many cases it is accompanied with such symptoms as sneezing, nasal discharge (mainly clear), and nasal pruritus (Wheatley & Togias, 2015). This is a likely diagnosis because allergic rhinitis is a very common condition in the United States, and it regularly affects at least one in six adults (Seidman et al., 2014).

Churg-Strauss syndrome (ICD-10-CM Diagnosis Code M30.1) (ICD10 Data, 2017d, para. 1).

The complicated breathing reported by the patient could also be a sign of the inflamed blood vessels in the upper respiratory tract – pulmonary eosinophilia – that is the major sign

of Churg-Strauss syndrome (Sharma, Agrawat, Julka, Varudkar, & Sharma, 2012).

Final Diagnosis

Chronic rhinitis (ICD-10-CM Diagnosis Code J31.0) (ICD10 Data, 2017b, para. 1).

The patient reported nasal congestion but did not mention sneezing, swelling, and watering. The latter are the symptoms of allergic rhinitis, while nasal congestion without itching and the aforementioned signs indicates that the patient is affected by non-allergic chronic rhinitis whose symptoms often develop in older adults suffering from the condition (Schroer & Pien, 2012).


Chronic Rhinitis Plan

  • Further testing: In-depth assessment of nose, eyes, ears, teeth; examination for inflamed tonsils and pharyngeal drip.
  • Medication: Nasal steroids are the usual approach to the treatment of sinusitis (Malaty, 2016). Stop taking Afrin, replace with nasal spray for the minimization of symptoms and Azelastine.
  • Education: Inform the patient about the importance of timely visits to a doctor in order to avoid the development of a chronic form of rhinitis.
  • Non-medication treatments: Stop using hypertention medication currently taken – Afrin.
  • Follow-up: follow-up with the physician in 7 days for a new assessment.

Chronic Sinusitis Plan

  • Further testing: MRIs or X-ray of affected areas
  • Medication: Amoxicillin for 2 weeks (250-500 mg) 3 times a day
  • Education: Inform the patient about the harm of self-medication because not all medications for nasal congestion are equally effective.
  • Non-medication treatment: Keep nose cavity clean using salty water
  • Follow up: Follow-up with the physician in 7 days.

Allergic Rhinitis Plan

  • Further testing: Allergy testing
  • Medication: Zyrtec – every day (10mg), current hypertension treatment continued.
  • Education: Inform the patient about the importance of avoiding allergens that can aggravate the condition further.
  • Non-medication treatment: Staying away from allergens
  • Follow-up: Follow-up with the physician in three days for an assessment

Churg-Strauss Syndrome Plan

  • Further testing: Assessment using the list of Churg-Strauss syndrome criteria (at least 2 or 3 should match). X-ray and blood test.
  • Medication: Prednisone (40-80 mg), lowering the dose gradually
  • Education: Inform the patient about the purpose of the treatment and the condition
  • Non-medication treatment: Keep nasal cavities clean using salty water.
  • Follow-up: Follow-up with the physician in three and then once again in seven days.


The assessment of the patient went normally. The patient appeared and presented his chief complaint. He was inquired about his condition and then examined based on his complaints and the standard guideline for patient assessment. The information was sufficient for the formulation of differential and final diagnoses. Urinalysis and blood test were still pending; however, their completion could provide more important information.


Bachert, C., Pawankar, R., Zhang, L., Bunnag, C., Fokkens, W. J., Hamilos, D.,… Blaiss, M. (2014). ICON: Chronic rhinosinusitis. World Allergy Organization Journal, 7(25), 1-28.

ICD10 Data. (2017a). Web.

ICD10 Data. (2017b). Web.

ICD10 Data. (2017c). Web.

ICD10 Data. (2017d). Web.

Malaty, J. (2016). Medical management of chronic rhinosinusitis in adults. Sinusitis, 1, 76-88.

Schroer, L. C., & Pien, B. (2012). Nonallergic rhinitis: Common problem, chronic symptoms. Cleveland Clinic Journal of Medicine, 79(4), 285-293.

Seidman, M. D., Gurgel, R. K., Lin, S. Y., Schwartz, S. R., Baroody, F. M., Bonner, J. R.,… Nnacheta, L. C. (2014). Clinical practice guideline: Allergic rhinitis. Otolaryngology–Head and Neck Surgery, 152(1), S1–S43.

Sharma, A., Agrawat, J., Julka, A., Varudkar, H., & Sharma, P. (2012). Churg Strauss syndrome. Indian Journal of Allergy, Asthma and Immunology, 26(1), 11-13.

Shi, J. B., Fu, Q. L., Zhang, H., Cheng, L., Wang, Y. J., Zhu, D. D.,… Xu, G. (2015). Epidemiology of chronic rhinosinusitis: Results from a cross-sectional survey in seven Chinese cities. Allergy, 70, 533-539.

Wheatley, L. M., & Togias, A. (2015). Allergic rhinitis. The New England Journal of Medicine, 372(5), 456-463.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Homework Geeks
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp