What diagnosis would you assign this patient?
A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal.
A) Otitis media
B) External otitis
C) Perforation of the tympanum
D) Cholesteatoma
B) External otitis
These are classic history and examination findings for a patient suffering from external otitis. Otitis media would not usually have pain with movement of the external ear, nor drainage unless the eardrum was perforated. In this case the examination of the eardrum is recorded as normal. Cholesteatoma is a growth behind the eardrum and would not account for these symptoms. Otitis media would classically be accompanied by a bulging, erythematous eardrum.
You might also like to view...
What is the correct conversion for the improper fraction?
a. 7 b. 8 c. 7.79 d. 79.7
One concern about all antidysrhythmic drugs is that they:
a. are not covered by most prescription plans. b. require high doses to achieve effectiveness. c. require hospitalization for administration. d. can worsen existing dysrhythmias or cause new ones.
Which exemplify determinants of health? (Select all that apply.)
A) Living in a community with clean, fluoridated water B) Having a death rate of 500 per 100,000 population C) Living in neighborhood with a high crime rate D) Smoking two packs of cigarettes per day E) Having an infant mortality rate of 95 deaths per 1,000 live births
Which outcome would the nurse recognize as evidence for meeting the desired outcome for a patient with aortic regurgitation and a nursing diagnosis of activity intolerance?
a. Completed activities of daily living with assistance b. Engaged in desired daily and social activities c. Reported no longer participates in gardening hobby d. Stated maintained bedrest to reduce fatigue