A 12-year-old boy is brought to your office by his mother. H…
A 12-year-old boy is brought to your office by his mother. He is complaining of right ear pain for the last 24 hours. The mother states the patient spent the last four days swimming in the pool and began to complain of pain in the right ear yesterday afternoon. The patient also states he has been using cotton swabs in his ear to remove excess water. On examination, the patient is afebrile. Otoscope examination is significant for clear fluid material in the ear canal, which is inflamed. There is tenderness to the pinna. What is the most likely diagnosis?
Read DetailsA non-toilet trained infant is brought into the clinic for a…
A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?
Read DetailsA 36-year-old female was working on her deck 2 hours ago whe…
A 36-year-old female was working on her deck 2 hours ago when her thumb got caught between two planks of wood. She is reporting severe persistent pain in the left thumb nail and states it seems to be getting worse. On exam the patient’s thumb nail has black/purplish discoloration underneath the intact nail. She maintains normal AROM, and is neurovascularly intact. There is a XR negative for fracture. Based on her exam, what is your diagnosis and what would you recommend?
Read Details