Florida State University Fifty Seven Year Old Man with Left Ear Pain Discussion – Question Description
I’m working on a nursing discussion question and need the explanation and answer to help me learn.
Case:
Chief Complaint
(CC) A 57-year-old man presents to the office with a complaint of left ear drainage since this morning.
SubjectivePatient stated he was having pulsating pain in his 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) 138/90Generalwell-developed, healthy male HEENTEAR: (R) external ear normal, canal without erythema or exudate, a 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 the 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. SkinNo rashesNeck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midline
Case questions:
What other subjective data would you obtain specific to your case?
What other objective findings would you look for?
What diagnostic exams do you want to order? State your rationale for each supported by academic resources.
Name 3 differential diagnoses based on this patient presenting symptoms.
Give rationales for each differential diagnosis supported by academic resources.
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