SOAP Note: Recurrent Sinusitis

For this case - write a SOAP note with the information below and submit. Include all the information given in the appropriate sections, include your diagnosis, plan, education, and ICD-10 code(s). As always, APA references are required. Please do your best. The purpose is to determine your level of proficiency of writing basic SOAP notes so we can focus on class needs, as well as work on the ENT subject. There is a rubric attached to this assignment.
Case Introduction________________________________________
Sandy is a 64-year-old patient with a 10-year history of recurrent sinusitis. She presents to your primary care clinic today complaining of"head congestion." She also reports that she had a "cold" last week with symptoms of cough and "runny nose." Two days ago, she developed a headache which was "worse" when bending over but improved with Tylenol. She describes the headache as a "3 out of 10" and says it is primarily a "frontal headache." She also reports that her nasal congestion has become worse; she has been blowing her nose even more; and the discharge from her nose has become thicker, with a yellow-green color. She has been taking pseudo-ephedrine for the past 48 hours with little relief of her nasal congestion. She denies tooth pain or pain on chewing. She has no past history of seasonal allergies, although she was treated for sinusitis 6 mo ago in your clinic as well as approx. 1 yr ago.
The remainder of her medical history is essentially negative.
Her vital signs are: blood pressure: 128/88; Pulse: 78 and regular; Respiratory rate: 20 p/min, non-labored.Her temp taken at the clinic is 99.6°F.
On physical examination, she has tenderness to palpation in the frontal area, no maxillary tenderness, nasal mucosa is erythematous as is her pharynx. Her submaxillary nodes are enlarged bilaterally, but there is no cervical lymphadenopathy. Her canals are clear bilat, with mild retraction noted, no redness, landmarks identified, TM's intact pearly gray. Her lungs are clear to auscultation. Her heart has a regular rate and rhythm and is negative for murmurs, gallops, and rubs.