A patient calls the office complaining of feeling a stuffiness and something in the ear. He has complaints of pain in the ear canal and decreased hearing capability. How do you respond to this call? Because you do not want to do any damage to the ear canal you would want to send this patient to the doctor. It could be a number of things that was gotten stuck in his ear. If it is a bug the doctor may use a light to get it to crawl out if it’s alive or if it’s dead the doctor may use a water solution to wash it out. If it’s an object other than a bug he may use forceps to get it out.…
3. A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the…
The patient has also been having multiple episodes of watery, non-bloody diarrhea for the past 3 weeks. He has been previously healthy except for a recent acute otitis media two months ago which was treated with oral Amoxicillin- Clavulonate for 10 days. No recent throat infection or rash. No similar episodes in the past. No recent travel.…
I experienced a miscommunication with one of the clients at Meadowbrook Veterinary Clinic where I have been working at for the past three years. One day there was a dog that came in for an annual checkup and the doctor discovered that this dog had Otitis externa or more commonly known as an ear infection in his right ear. After the veterinarian found the ear infection the dog was prescribed an oral antibiotic. After the medication was prescribed I was typing up a label that is placed on the medication bottle. I wrote “Take 1 tablet twice daily for 7 days” on the label. After about four days the owner called back complaining that the dog is in even more pain after he was given the medications. Once the dog came back to the office the veterinarian…
Dave’s problems are consistent with a noise induced hearing loss (NIHL). When looking at the results that were obtained by an otoscopic exam, pure tone audiometry, speech audiometry, and immittance audiometry, it is evident that there is no medical treatment will improve his hearing. I recommend staying away from loud noises and using hearing protection that fits correctly in his ears. Due to the rest of his hearing being in the normal range except at 4000 Hz, there is no need for hearing aids at this time. Yearly check-up will be made to watch his…
Acute Otitis Media is seen quite often during the cold and flu season. Recent clinical guidelines suggest waiting twenty four to seventy two hours before beginning antibiotic therapy. Parents of children with symptoms of otitis media are accustomed to receiving a prescription for antibiotics before they leave the medical office. Adults as well are preconditioned for the little white slip of paper from their physician. Waiting twenty four to seventy two hours to evaluate the need for antibiotics will definitely reduce the over-prescription of antibiotics as well as their efficacy.…
I would prescribe Sue sulfa drugs. The bacteria is a Gram negative so penicillin would be difficult to infiltrate the cell wall. The others are within the cells. So Sulfa drugs would be best.…
Scenario: You are called to the scene of a 28-year-old male who is complaining of hoarseness, a scratchy sensation in the back of his throat, and palpitations. The symptoms began about 30 minutes ago and have grown steadily worse. The patient took prescribed penicillin one hour ago. Management of this patient should include all of the following EXCEPT:…
• Mouth rinses containing the antibiotic medicine may be prescribed. They may lessen symptoms and speed healing.…
According to Centers for Disease Control and Prevention (CDC) (2016) since 1993, hospitalization rates among hemodialysis (HD) patients related to bloodstream infection (BSI) have increased by 47% and by 87% for vascular access infection. Hand hygiene is the cornerstone of infection prevention. Staff and patient education and compliance with infection prevention practice must be mandatorily enforced at all HD outpatient facilities. Dialysis staff must ensure patients are actively involved and understand their role in infection prevention and control such as proper hand washing technique, hand hygiene, vascular access care and wound cleaning, identify signs and symptoms of infection, and be knowledgeable on standard…
McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial…
the eyes, nose or ears. Drops can be used for ear or eye infections. Nose sprays are used for…
9. A 7-year-old female established patient was presented to the pediatrician complaining of ear pain for three days. The pediatrician performed a detailed exam. After the examination, the pediatrician diagnosed the patient with otitis media and an upper respiratory infection. The CPT Code would be…
References: American Academy of Pediatrics and American Academy of Family Physicians. (2004.) Clinical practice guideline: Diagnosis and management of acute otitis media. Retrieved from http://aappolicy.aappublications.org/cgi/content/full/pediatrics;113/5/1451…
Today was a very busy day until we finally got a much-needed break at lunch time. Walk in clinic is always that way since flu season has picked up. There are so many cases of the flu, but now it seems to be combined with strep throat more often than not in the past couple of weeks. I have noticed, even the patients that have been scheduled for appointments months prior, show up for their visit sick. When we ask how they may have been exposed to the flu, they tell us it has been going around their work place or home. Everyone needs to be seen as soon as symptoms appear in my opinion. This will help slow down the infection rate and contain the virus sooner. I was allowed to witness an ear irrigation today, but was unable to participate. What…