Skin, Eye, & Ear Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.
| Case 1 | Case 3 | ||
| Chief Complaint (CC) | A 57-year-old man presents to the office with a complaint of left ear drainage since this morning. | ||
| Subjective | Patient stated he was having pulsating pain on left ear for about 3 days. After the ear drainage the pain has gotten a little better. | ||
| Objective Data | |||
| VS | (T) 99.8°F; (RR) 14; (HR) 72; (BP) 138/90 | ||
| General | well-developed, healthy male | ||
| HEENT | EAR: (R) external ear normal, canal without erythema or exudate, little bit of cerumen noted, TM- pearly grey, intact with light reflex and bony landmarks present; (L) external ear normal, canal with white exudate and crusting, no visualization of tympanic membrane or bony landmarks, no light reflex EYE: bilateral anicteric conjunctiva, (PERRLA), EOM intact. NOSE: nares are patent with no tissue edema. THROAT: no lesions noted, oropharynx moderately erythematous with no postnasal drip. | ||
| Skin | No rashes | ||
| Neck/Throat | no neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline |
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.