Patient presents with complaints of nasal obstruction, nasal congestion, difficulty breathing through the nose, and impaired airflow.  Onset of symptoms reported as [duration and onset - e.g., gradual onset over the past three months].  Associated symptoms may include rhinorrhea (character and quantity described), postnasal drip, sneezing, altered sense of smell or taste, headache, facial pressure, and snoring.  Patient reports [impact on daily activities - e.g., difficulty sleeping, impaired concentration].  Past medical history includes [relevant conditions such as allergies, asthma, deviated septum, nasal polyps, previous nasal trauma or surgery].  Medications include [list all current medications].  Family history is significant for [relevant conditions].  Physical examination reveals [objective findings such as swollen turbinates, erythema, nasal discharge, septal deviation, presence of polyps].  Anterior rhinoscopy andor nasal endoscopy may be performed.  Differential diagnosis includes allergic rhinitis, non-allergic rhinitis, sinusitis, nasal polyps, deviated septum, foreign body, and nasal valve collapse.  Assessment: Nasal obstruction likely secondary to [probable cause].  Plan includes [treatment plan  - e.g., saline nasal irrigation, intranasal corticosteroids, oral antihistamines, decongestants, referral to otolaryngology for further evaluation andor surgical intervention].  Patient education provided regarding nasal hygiene, medication administration, and potential complications.  Follow-up scheduled in [timeframe] to assess response to treatment.