Yоu аre seeing Christоpher whо is а very energetic four yeаr old male child. He has been seen twice in your clinic in the past month for cough and unilateral runny nose and each time, mother was told he just has a cold. Mom brings Christopher back to the clinic because his runny nose is now thick and stinky and causing his skin to be very irritated around his L nostril. He has had no fever or systemic symptoms, he has had no changes in appetite or activity level. You note normal vital signs and an otherwise negative history. He has moderate excoriated skin around the base of the nose extending down the left side to the lip line with purulent discharge.
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