,VITAL SIGNS:  Temperature 98 degrees Fahrenheit, pulse 77, respirations 18, blood pressure 130/73.,ASSESSMENT AND PLAN:  ,The patient is a 40-year-old female with a past medical history of repair of deviated septum with complication of a septal perforation. 
,VITAL SIGNS : Temperature 98 degrees Fahrenheit , pulse 77 , respirations 18 , blood pressure 130/73.,ASSESSMENT AND PLAN : , The patient is a 40 - year - old female with a past medical history of repair of deviated septum with complication of a septal perforation .