Skin, Eye, & Ear Disorders - A 57-year-old man presents

Skin, Eye, & Ear Disorders

On this Discussion, you will take on the role of a clinician who is building a health history for the following patient:

 Chief Complaint
(CC) A 57-year-old man presents to the office with a complaint of left ear drainage since this morning. 

 SubjectivePatient stated he was having pulsating pain on left ear for about 3 days. After the ear drainage the pain has gotten a little better. 

Vital signs (VS) (T) 99.8°F; (RR) 14; (HR) 72; (BP) 138/90 

 Generalwell-developed, healthy male 

  HEENT EAR: (R) external ear normal, canal without erythema or exudate, little bit of cerumen noted, TM- pearly grey, intact with light reflex and bony landmarks present; (L) external ear normal, canal with white exudate and crusting, no visualization of tympanic membrane or bony landmarks, no light reflex EYE: bilateral anicteric conjunctiva, (PERRLA), EOM intact. NOSE: nares are patent with no tissue edema. THROAT: no lesions noted, oropharynx moderately erythematous with no postnasal drip. 

  SkinNo rashes 

 Neck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midline 

 Submission Instructions: 

Once you received your case number, answer the following:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic examinations do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

Requirements:

at least 500 words