What factors in ZM’s recent history should the clinician consider, and what additional questions should the clinician ask the mother?

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Use APA 7th Edition Format and support your work with at least 3 peers 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 Of it is External

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 weeklong 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 children’s pirate dine

Physical Examination

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

• Left ear canal swollen; unable to access with rotoscoped 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 ZM’s 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?

Thank you

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