Earache
Age: years old
Gender:
HISTORY:
Presents with a - history of earache
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, up to °, over
, of phlegm
, , , ,
Contributing factors:
no history of: , , , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head: , scalp
Eyes: conjunctiva/sclera , lids/lashes
Ears: tympanic membranes , auditory canal on , hearing
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
ASSESSMENT:
DDx: acute otitis media, serous otitis media, otitis externa, Eustachian tube dysfunction, temporomandibular joint disorder, dental abscess, pharyngitis, cervical lymphadenopathy, sinusitis, mastoiditis, foreign body in the ear, neuralgia, barotrauma, herpes zoster oticus, malignant otitis externa
PLAN:
Investigations:
- Audiogram
- Blood work: ,
- Ear swab for culture
Treatments:
-
-
-
-
-
-
- Warm compresses
- Avoid swimming
- Avoid q-tips
Further care:
- Referral to otolaryngologist
- Referral to dentist for ATM dysfunction
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as hearing loss, fever, or discharge from the ear
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: