acute sinusitis under Augmentin Tx since 11/12, asthma and AR past Hx, NO and purulent rhinorhrea improved but severe frequent cough with wheezing dyspnea since yesterday, chest tightness SOB, PE: wheezing (+), PND (+) still, bil maxilla tenderness (+) still but feel lessA: 1. acute bacterial sinusitis 2. acute asthma attack P: 1. steam inhalation stat (Ventoline inh) and ENT local Tx 2. oral steroid for acute asthma attack but patient refuse took Augmentin this time (feel sinusitis s/s improved)