Advance Health Assessment Focused/episodic Soap Note For Nose

SOAP ALLERGIC RHINITIS
Patient Information:
Initials: Mr. R     Age: 50 years old    Sex: Male     Race: Caucasian
SUBJECTIVE DATA:
Chief Complaint (CC): nasal congestion
History of Present Illness: 
Mr. R is a 50 years Caucasian man who complains of nasal congestion, sneezing, rhinorrhea, and postnasal drainage. He also struggles with an itchy nose, eyes, palate, and ears for the past 5 days. During physical observation, he touches his fingers to the bridge of his nose to press and rub there. He has been taking Mucinex OTC in the past two nights to help in his breathing during his sleep, but he says that the symptoms return after a few hours. He also takes Benadryl at night to help him sleep, but it sometimes makes him feel groggy in the mornings. Mr. R reports symptoms initially began after going out one night to a smoky bar. He reports that he has a new friend who is a heavy smoker.
Current Medications:
Mucinex OTC
Benadryl
Metoprolol 100mg PO QD for ten years
Prozac 20mg PO QD; Started four months ago
Allergies:
He had childhood allergies but cannot recall the details, only remembers taking weekly allergy shots.
Past Medical History (PMH):
Childhood allergies (but unaware of specifics), but has had recurring ear infections. Diagnosed with hypertension ten years ago and Metoprolol is used to control it. Mr. R has depression which is not well controlled and has been taking Prozac for four months but still, feels depressed.
Social History
Mr. R is a factory worker due to retire in the next 5 years. He and his wife have four children and four grandchildren who visit every weekend. He says he feels depressed when they not around. He does not smoke and has no history of drug use. He takes two-three beers over the weekend as he hangs out with his friends.
Significant Family History:
His mother also diagnosed with hypertension 30 years ago. Father died two years ago due to pneumonia. No history of major illnesses among his children.
Review of Systems:
General: Ms. R denies fever or fatigue, denies any changes in weight or appetite
Skin: denies rashes, ulcerations, lesions or abnormalities 
HEENT: He denies headaches, dizziness or syncope. He denies any notable change in his hearing, ringing ears but has itchy ears. He reports nasal congestion and postnasal drainage and the nose is itchy. He denies nosebleeds or issues with tooth pain, bleeding gums, hoarseness or dry mouth but reports of an itchy palate. He reports watery and itchy eyes without crusting.
Neck: denies pain or swelling
Cardiovascular: denies chest pains, palpitations, edema
Respiratory: denies chest pains, lung injury, lung disease, allergies and asthma
Gastrointestinal: no indigestion, difficulty swallowing, nausea, abdominal pain or heartburn.
Genitourinary: no dysuria or changes in urination frequency.
Neurological: no headaches, numbness, fainting or syncope.
Musculoskeletal: no muscle aches or stiffness.
Hematologic: does easily bruise.
Lymphatics: denies enlarged/tender nodes; no history of splenectomy.
Endocrine: no history of hypothyroidism, diabetes, polydipsia or polyuria.
Psychiatric: no psychiatric symptoms.
Allergic/Immunologic: Childhood allergies (but unaware of details).
OBJECTIVE DATA
Physical Examination:
General: Mr. R is a well-developed Caucasian man who is alert and oriented, well dressed but appears depressed.
Vital signs: Ht 5’8” Wt 150lbs HR 74 RR 17 BP 128/79 Temp 37 degrees, BMI = 24.4 Skin: cool and dry
HEENT: 
Head: symmetric, non-tender, atraumatic, normocephalic with mild pressure reported upon palpitation of maxillary sinuses.
Eyes: clear water discharge, bilateral conjunctival injection, no lesions or edema, no hemorrhage or exudate.
Ears: canals intact without exudate, edema or erythema. Tympanic membranes intact
Nose: nares congested with rhinorrhea, turbinates boggy and edematous, mild erythema of nasal mucosa.
Throat: oropharynx without exudate, tonsillar edema or erythema. Uvula midline, mucous membranes pink, moist, and without ulceration
Neck: supple, non-tender, no palpitation or masses.
Chest: Thorax is symmetric, diaphragm descends 4mm bilaterally
Lungs: No dullness to percussion.
Heart: Regular rhythm with the occasional extra beat.
Peripheral Vascular: Abdomen: distended, normal active bowel sounds. No masses.
Genital/Rectal: No masses felt.
Musculoskeletal: no muscle or joint pain.
Neurological: alert and oriented, gait and cerebellar function normal. Reflexes, gait and cerebellar function are normal.
Skin: cool and dry
Laboratory Data: None collected
Physical Examinations & Diagnostic Test
A complete physical examination (in addition to HEE...