A 38-year-old patient presents with sudden onset of ear pain…

A 38-year-old patient presents with sudden onset of ear pain, hearing loss, and bloody otorrhea after a loud blast exposure at work. Otoscopic examination reveals a central perforation of the tympanic membrane. Which of the following is the most appropriate initial management?

A 58-year-old patient presents to the clinic with mild heari…

A 58-year-old patient presents to the clinic with mild hearing loss and a sensation of fullness in the left ear. Otoscopic exam reveals a large amount of soft cerumen partially occluding the external auditory canal. The patient denies pain, drainage, or history of ear surgery. What is the most appropriate initial management?