Chapter 19: Diseases of the Eyes, Ears, Nose, and Throat
Itchy, red eyes, fits of sneezing, runny or stuffy nose, itching of the nose or palate: Y N Shortness of breath, wheezing, chest tightness or difficulty breathing? Y N Other acute reactions, including generalized or severe swelling or shock. Y N History of Reactions Suggestive of Latex Allergy: ................
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