Environmental Allergic Rhinitis Management in Adult Primary Care: A Detailed i-Human Case Study with Diagnostic Reasoning and Evidence-Based TreatmentCase Information Element Details Course NRNP 6550: Advanced Primary Care of the Family Week Week 2 Platform i-Human Patients by Kaplan Mode Learning Mode (formative assessment with feedback after each section) Case Author Lauren Paluch, DMSc, PA-C (in collaboration with the AHP Content Team) Estimated Completion Time 60-90 minutes Core Competencies Patient assessment, diagnostic reasoning, clinical decision-making, patient education Patient Snapshot Demographic Value Age 42 years Sex Male Height 6'0" (183 cm) Weight 198.5 lb (90 kg) BMI 26.9 kg/m (Overweight) Chief Complaint "I need help with my environmental allergies"Demographic Value Reported Allergies Grass, pollen, trees, dust, and mold Medication Allergies None reported Setting Outpatient primary care clinic (suitable for laboratory testing) Case Objectives Upon completion of this case, learners will be able to: 1. Conduct a comprehensive allergy-focused history for a patient with suspected environmental allergies 2. Perform and interpret relevant physical examination findings in allergic disease 3. Develop an appropriate differential diagnosis for rhinitis symptoms 4. Select and interpret appropriate diagnostic tests for environmental allergies 5. Formulate a evidence-based treatment plan including avoidance measures and pharmacotherapy 6. Provide patient-centered education