A 32 year old woman comes to the office and states that she…

A 32 year old woman comes to the office and states that she has decreased hearing and pain in her L ear. She states it started when she got back from vacation in Spain. The patient has no pain or swelling of the external ear, no canal swelling, and an erythematous bulging tympanic membrane on the affected side. What would her diagnosis be?

You have a 24 year old female who comes to the office c/o lo…

You have a 24 year old female who comes to the office c/o lower abdominal pain. She states that the pain started 2 days ago became severe this am. On exam she has significant LLQ tenderness, a rigid abdomen, and rebound tenderness. What would be the MOST important piece of information to get next?