Hypernasalilty and Ptosis in a 48-yr-old Woman

Past Medical History

  • Medical history: Asthma controlled by daily corticosteroid inhaler. Uses rescue bronchodilator 3 to 4 times/yr; last use was 2 mo ago. Sinusitis, with multiple episodes in the past, but none since her sinus surgery.

  • Surgical history: Balloon rhinoplasty for sinus enlargement (1 yr ago).

  • Medications: Beclomethasone inhaler twice/day; albuterol inhaler as needed.

  • Allergies: Erythromycin

  • Family history: Negative

  • Social history: She eats a regular diet and does not exercise. There is no history of recent travel. She denies drug, alcohol, and tobacco use. Immunizations are up to date, and there has been no recent exposure to illness.