SYMPTOMS AND CIRCUMSTANCES FOR REFERRAL
€¢ Wheezing or shortness of breath, which could indicate asthma.
€¢ Earache or facial pain, as these may indicate sinusitis or otitis media requiring antibiotics.
€¢ Purulent, rather than clear, discharge from the eyes, indicating the possibility of infection.
€¢ Blood in nasal discharge.
€¢ No improvement after one week of treatment with OTC medication.