HPI: Margaret Jones is a 56-year-old, Caucasian female who has recently moved to Arizona from Minnesota and is a new patient to your office. She has a history of COPD and seasonal allergies. She has been feeling tired lately, which she attributes to her allergies. She has taken Claritin® in the past, but for the past month it has not been working well. She complains of a running nose that is worse in the morning and is associated with sneezing and an itchy throat. She also complains that her breathing is more difficult. She becomes dyspneic on minimal exertion and can hear herself wheezing at night. Her productive morning cough seems worse, but the color of her sputum has not changed. She denies discolored nasal drainage, HA, facial pain, loss of appetite, chest pain, edema, and fevers.