The patient is a single mother of four. She lives with her children at her bought home. She is a manager at ABC real estate Agency. She actively participates in community health and development programs. She eats home-made food and tries to avoid fast foods as much as possible. She does not smoke, but she takes a glass of wine occasionally. She exercises rarely.
Review of system
General: She has no unexplained weight changes, fever or night sweats.
Skin: No discolouration, bruising, paleness or rashes.
Eyes: She does not use corrective lenses
Ears: No discharge or ear pain
Nose/ Mouth/ Throat: She does not have sinus complication, denies throat pain, dysphagia or nose bleeds……………