Clementine is a 48-year-old female who has had right ear pain and fullness for the past week that is worsening.
Clementine is a 48-year-old female who has had right ear pain and fullness for the past week that is worsening. She has felt hot but has not taken her temperature. In the office, her temperature is 101, and her TM is red, bulging, and painful to examination. The canal is red and stenosed. Your impression is otitis media and externa. What is your treatment plan for her and why? What patient teaching should you provide? Why did you choose this teaching?
Matt is a 15-year-old male who presents with complaints of ankle pain x 4 hours after “twisting” his foot while playing soccer. His x-ray is negative and examination is consistent with a moderate ankle sprain. He rates his pain 8/10 (1-10 pain scale). What pain medication options can you offer Matt? What side effects of your prescribed regimen does he need to be educated on? Should his parents be involved in your discussion?
Maria is a 26-year-old female with a 2-week history of cough and congestion, which started out as a “normal cold” and now “feels worse.” She took 3 days of antibiotics her mother gave her from Mexico (name unknown). No change in symptoms. NKDA. Notes green mucous and nasal discharge. Positive exam findings include temperature of 100.0°F, greenish postnasal drainage, swollen turbinates, and frontal sinuses tenderness. What is your recommendation for treatment and why? When should the patient expect to feel better? Are there any OTC remedies to consider?
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
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