It´s description is the most important part of the “testimony” andno basic information can be omitted in it.
● illness start and description
● your own symptoms descriptions
● seasonal presence of the clinical effects (per year, during the summer, etc)
● allergic (not allergic) initiating factor – if we know it or if it seems to be assumed
● lifestyle influence * the symptoms occurrence frequency and the seriousness symptoms * influence on the occupation ( study) * extra working activities (sport, hobby) * sleep
● environmental allergens – surroundings allergens – (at home, work)
● existing treatment – ( if already treated)* effect (little, significant; stopped to be effective after a period of time)* side-effects* satisfaction and the willingness to undergo this type of treatment.The information on the further potential illnesses we have, especially onmedications we take, is important. Many can influence not only the diagnosis, but also theparticular allergic reaction itself – and not only in the negative sense – worsen of the clinical condition or on the contrary- covering of the particular typical symptoms.
The physical examination is the basis in all cases. The doctor examines all systems.He or she examines the skin al over the body, where the symptoms – even not the mostserious and hence hidden, which the patient himself does not have to notice – inflammation,reaction to any mechanic irritation, dryness or wetness of the skin, nails, hair, are looked for.
The oral cavity reveals the potential inflammation- infectious, but allergic, as well.The nasal mucosa swelling and congestion, nasal discharge, red skin around the nostrilscaused by the mechanic irritation are the symptoms of the common cold. The patients with thenasal congestion breathe through the mouth, which are open all the time. The nasal congestionAs far as the children are concerned, the nasal congestion is revealed by the line on the top,especially the so called allergic salute (greeting), it is started with. It is a “gesture” of pushingthe top of the nose up with the palm, while the nasal cavity is being released.
The auscultatory examination – examination with the phonendoscope – enables to hearthe breathing sound. Unlike the healthy lungs, the patients with the clinical asthma makecrunching, bubbling or whistling sounds while breathing. They do not have to be loud so thatonly the experienced ear of the doctor can hear and identify them.The palpating and percussing of the rib cage and the abdomen provides furtherinformation.The entire examination, especially the first visit to the specialised doctor is necessary.Therefore even while examining the patients, who are think that they have “only” a commoncold, we should expect the complex examination.