Otitis Media in child
Age: old
Gender:
HISTORY:
Presents with a - history of
Symptoms include:
, up to °, over
Alleviating factors: ,
Contributing factors:
no history of: , , ,
no use of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head: fontanelles ,
Eyes: conjunctiva/sclera , lids/lashes , , extraocular movements , red reflex , corneal light reflex , fix and follow test
Ears: tympanic membranes , auditory canal on , hearing
Nose: , , discharge ,
Throat: , ,
Neck: , , , , , c-spine
Heart: , ,
Lungs: , ,
Abdomen: , , ,
Extremities: , , , , Barlow , Ortolani , , cap refill sec
Skin: on
ASSESSMENT:
DDx: acute otitis media, otitis media with effusion, external otitis, foreign body in ear, eustachian tube dysfunction, upper respiratory infection, sinusitis, pharyngitis, dental abscess, mastoiditis, adenoid hypertrophy, tonsillitis, temporomandibular joint disorders, herpes zoster oticus, influenza, COVID-19
PLAN:
Investigations:
- Blood work: ,
- Audiogram
Treatments:
-
-
-
-
-
Further care:
- Referral to otolaryngologist if recurrent episodes
- Follow-up in
- Return if symptoms do not improve after 72 hours or if worsen
HISTORY: EXAM: ASSESSMENT: PLAN: