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Compass Online
Case One: Ten-Year-Old Tommy
 History
Tommy, an active ten-year-old accompanied by his mother, comes to your
office in the early spring as a new patient. His complaints consist of
chronic nasal congestion, occasional sneezing, and frequent itchy-eyes.
Mother states that his symptoms have increased over the past few months
and he has developed this annoying habit of constantly rubbing and
blinking his eyes. The only medicine Tommy takes is an over-the-counter
oral antihistamine decongestant, recommended by a friend, “which doesn’t
really seem to help”. Mother works long days and often forgets to give
him his medicine.
Most of Tommy’s day is spent at school where he also stays for aftercare
until picked up by his father. Like most normal boys, Tommy loves to
play outside at school, which is surrounded by a wooded area where he
loves to climb trees. In the evening he spends most of his time playing
with his cat. Mother denies that he sleeps with the cat.
Family history reveals that father has had allergies all his life.
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