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A.P. is a 21-year-old American Indian male who presents to his primary care prov

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A.P. is a 21-year-old American Indian male who presents to his primary care provider with a throbbing pain in his left ear X 5 days. The patient reports “stuffiness” and “pressure” to his left ear.
Medical History:
Past Surgical History – None
Social History- 1 PPD cigarette smoker X 3 years
Current medication: Cetirizine 10mg PO QD
Vital signs: T 101.4 F, P 90, RR 18, BP 118/70
Physical Exam Findings:
Left ear: moderate bulging and erythema to the Left tympanic membrane with effusion to the middle ear.
Diagnosis: Left Otitis Media
What is the first-line treatment for your diagnosis? Give your complete treatment plan, to include medication (dosage, frequency, etc.). Include patient education.
4. J.T. a 45-year-old Caucasian female presents to her primary care provider with chief complaints of swelling and redness to her right lower extremity after she cut her leg on the edge of her glass coffee table, while at home 5 days ago.
Vital signs: T 100.4 F, P 75, RR 15, BP 109/77, Pain 6/10
Physical examination: poorly demarcated area of erythema to right lower extremity near shin area, warm to touch, 1mm blisters surrounding the area.
Labs: WBC count 17,600 μl
Diagnosis: Cellulitis
What is the first-line treatment for your diagnosis? Give your complete treatment plan, to include medication (dosage, frequency, etc.). Include patient education.

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