2. Caritas Holy Family Hospital and Medical Center HFOO639699
MEDICAL RECORDS REPORT CONSULTATION REPORT
DATE CF SURGERY: September 3, 2003, at Huly Family Hospital.
Ob‘ MLNEJSS: This is a EL year old female with history of zwsal ubstructiwn facial
yrussurc, She has had nu improvement with medication. In addition, she has some ear
blocl-age popping uh the right side.
FAST MEDICAL HISTORY: None.
MEIDICATIONS: and Flonase.
ALLERGIES: Penicillin and Sulfa, as well as Aspirin. TOBACCO £1 ALCOHOL: NONE.
BLEEDING HISTORY; Hum.-;.
ASSESSMENT:
L. Eustachian tube dysfunction with hearing on right side. 2. aeptal dEViotiur‘..
3. ‘fuzbinate hypertrophy.
4 . Chronic sinusiti= .
ELAN: Right myringutumy and tub»: with Septuplasty, turbinectumy limited endoscopic
sinus surgery. The risks, benefits and alternatives were discussed with the patient
preoperatively, and all questiuns were answered and informed consent was obtained. She
wishes to proceed with the proce-d".1res. In