The Curbsiders Internal Medicine Podcast

#447 Rhinitis and Environmental Allergies with Dr. Olajumoke Fadugba

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Jul 8, 2024
Expert allergist Dr. Olajumoke Fadugba discusses distinguishing between allergic and non-allergic rhinitis, allergy skin testing, pathophysiology of allergies, allergy immunotherapy, chronic sinusitis, sinus rinses, and climate change impact on allergies.
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ADVICE

Rhinitis History

  • Focus on the pattern of rhinitis symptoms, such as whether they are perennial or seasonal.
  • Ask about triggers like weather changes, fragrances, pets, mold, and dust mites.
INSIGHT

Vasomotor Rhinitis Triggers

  • Triggers like season changes, strong fragrances, fumes, and temperature changes suggest vasomotor rhinitis.
  • Vasomotor rhinitis is the most common type of non-allergic rhinitis.
ADVICE

Rhinitis Physical Exam

  • Perform a thorough physical exam, including oral and nasal exams, to assess for signs of rhinitis.
  • Look for evidence of throat drainage, cobblestoning, inflamed turbinates, or polyps.
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