The Investigation and Prolonged Care of the Allergic Patient
It is only by a careful and detailed study of the patient with allergy that a satisfactory solution of his problem may be reached and an effective program outlined for his future comfort. The chief complaint often gives the first indication that a patient has allergy, but this single factor should not in any way influence the detail with which a history is elicited.
Regardless of the chief complaint, all previous illnesses should be reviewed briefly according to the systems involved and careful inquiry should be made regarding anything that might have a bearing on the present complaint.
This review of the systems begins with the eye, ear, nose, and throat, an endeavor being made to elicit any previous involvement whether of infectious, traumatic, or congenital origin. Any and all operations on the nose or throat with their definite dates, the reason for operation, and the result should be listed. The review of the respiratory system will frequently overlap that of the ear, nose, and throat, but this is an advantage as certain facts may be emphasized that otherwise might be overlooked. Careful questioning may reveal details that have a bearing on the patient's allergy such as frequent infections of the upper respiratory tract in childhood, bronchitis associated with wheezing or unusual or abnormal respiration. The cardiovascular system is important from the standpoint of cardiac asthma in contrast to bronchial asthma. The dizziness or pounding in the head of the hypertensive individual must be contrasted with symptoms of migraine;. . .