SNEEZING BOY AIS year-old boy brought to the hospital with severe sneezing, He also complained clear fluid discharge from his nose for 2 days duration. He also reports having episodes feelings of congestion, a cough, redness and itching of the eyes, in the past five years ago. The frequency of allergic symptoms gradually inereased in the last six months ago with many symptoms: excessive sneezing, nasal congestion and runny nose, swollen throat, feeling of congestion in facial sinuses and upper respiratory tract and shortness of breath in all seasons and at intervals of every 2 to 3 days. Patient symptoms were more severe during the night and in the morning, He was intolerant to cold weather, and his allergic symptoms exacerbated in warm ‘temperatures or inhalation of warm smells. Feeling of heaviness upon waking up in the morning was also mentioned. The redness of the cheeks, the dark facial color and the darkness of the eyes. All the facial signs had developed gradually during the last six months. There is a family history of similar symptoms with less severity in the patient’s father, uncle, and grandmother. The patient's weight and height were 60 kg and 160 cm, respectively. On physical examination, he looked unwell. The blood pressure 120/80 mmHg, pulse rate 90 times per minute, respiratory rate 20 times per minute, temperature 36.5°C. Examination revealed Morgan-Dennie lines with deep shadowing, He had a transverse nasal crease. Looking up his nostrils, he had oedema of the inferior turbinates and a fair amount of clear nasal secretion. His, /es were both pink with conjunctival oedema, The doctor planned a complete blood count and skin prick test as the next step. The doctor also suggested eliminating the allergen agents and treated the patient with the antihistamines, corticosteroids, decongestants, and anticholinergics to prevent inflammation or suppress the inflammatory response to allergens. The doctor also said that he may need an immunomodulator therapyOn nasal exam, the mucosa and turbinates appear edematous. Please discuss the scenario above with seven jumps!