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Case 1: Jonas is a 22-year-old athlete who presents with complaints of irritation and fullness in his right ear. He has been training for six hours a day, including swimming, running, cycling, and weightlifting. He is concerned that the fullness in his ear and the irritation could require him to limit his training. He denies any recent upper respiratory infections, nausea, vomiting, or dizziness.

 

-Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:
Pertinent positive findings that validate your main diagnosis
Pertinent negative findings that make you think of other differential diagnoses
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit
SCIENCE
HEALTH SCIENCE
NURSING
NURS 681

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