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This Concept Map, created with IHMC CmapTools, has information related to: Hypersensitivity cMAP, Fluticasone propionate (Flonase) or mometasone furoate (Nasonex) indication nasal congestion runny nose sneezing itchy nose itchy & watery eyes, Tests Rule out allergic reaction Skin Test, treatment options OTC Saline nasal spray, nonpainful bilateral, thin, clear discharge sneezing medication tried loratadine (Claritin), Tests Rule out allergic reaction Blood Test, IgE mediated if allergen removed a day or two, sleep disturbance & school work difficult due to symptoms classified as moderate-to- severe, persistent allergic rhinitis ???? Tests, Case 8 suffers from persistent allergic rhinitis, IgE mediated mechanism anaphylactic hypersensitivity, Tests Rule out sinus problems Nasal Endoscopy, treatment options Rx Fluticasone propionate (Flonase) or mometasone furoate (Nasonex), Tests Rule out sinus problems CT Scan, Runny Nose & sneezing impact on life sleep disturbance & school work difficult due to symptoms, Antihistamine nasal spray: Azelastine dose 1 spray in each nostril BID, treatment options non-pharmacological -allergen avoidance -neti pot -humidifier, persistent allergic rhinitis ???? treatment options, Saline nasal spray normal 1 packet, loratadine (Claritin) developed symptoms of Runny Nose & sneezing, persistent allergic rhinitis type-1 hypersensitivity IgE mediated