Deiondre is a 22-year-old who presents with complaints of ha…

Deiondre is a 22-year-old who presents with complaints of having recent ear pain and loss of normal hearing to right ear.  He tells you he started with a cold about a week ago and then about two days ago began having right ear pain.  States in the night last night it was unbearable and he was getting ready to get up to go to the ER when he had sudden intense pain, but then it felt better.  He decided to come into the office today because he can’t hear out of that ear now and he still has a lot of sinus pressure and drainage.  When you examine the right ear, you see a large cerumen impaction.  What is your plan of care?  Please select all that apply. 

Austin is a 19-year-old who presents to clinic first thing M…

Austin is a 19-year-old who presents to clinic first thing Monday morning.  He was involved in a fight Friday night and developed a large hematoma to his right ear.  He has self treated with ice and ibuprofen but since it continued to enlarge he decided he better come and have it looked at.  Exam reveals a 3.5 cm hematoma covering the upper 2/3 of his right ear.  What is your best plan of care?

Ivan, a 69-year-old, presents with three days of feeling tir…

Ivan, a 69-year-old, presents with three days of feeling tired and productive cough of yellow-tinged phlegm. He reports he had a URI a week ago that has resolved. PMH: smoker 2 ppd x 48 years, COPD, Type 2 DM well-controlled with metformin, and has a permanent pacemaker. His exam reveals skin pale, crackles in LLL, positive tactile fremitus and egophony in LLL, normal S1S2, abdomen non-tender. You discuss with Ivan that you would like for him to get a CXR but he refuses because he says he does not have the money to pay for that. Your next best plan would be:

Definiciones.  Lea las descripciones y escriba la palabra co…

Definiciones.  Lea las descripciones y escriba la palabra correspondiente. (8 pts) la suspensión colectiva del trabajo por los trabajadores para protestar por algo: la [huelga]  (n.) (Do not use”paro.” The answer begins with the letter “h.”) no saber leer ni escribir bien: el [analfabetismo] (n.) (hint: a…) regalar dinero a una organización: [donar] (v.) un reto o problema muy grande: el [desaf-o] (n.) (hint: d…) lo que hace una persona si quiere ser candidato en una elección presidencial o de alcalde: [postularse] (v.) (The answer begins with the letter ‘p,’ but do not use “presentarse.”) el problema que existe cuando no hay suficiente comida para todas las personas: la [desnutrici-n] (n.) (Do not use “malnutrición,” “hambruna,” or ” hambre.” the answer begins with the letter “d.”) lo opuesto de la paz: la [guerra] (n.) el racismo y el sexismo son tipos del [prejuicio] (hint: p…)