case study

Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page. 

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Patient with Otitis Externa

ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: He is never sick, and he never cries. 

Past Medical History 

All immunizations current 

No history of surgeries 

No history of allergies 

No history of significant illness

 Medications 

Multivitamin, daily 

Occasional allergy medication with childrens loratadine 

Physical Examination 

Pulse: 100; respiration rate: 22; temperature: 100.2 F data scan 

Left ear canal swollen; unable to access with otoscope to observe tympanic membrane 

Swelling noted in lymph nodes below ear 

Ear is red and warm to touch 

Diagnosis 

External otitis 

Discussion Questions 

1. What factors in ZMs recent history should the clinician consider, and what additional questions should the clinician ask the mother? 

2. What treatment options are indicated for ZM? 

3. What patient teaching should the clinician provide?