Assignment 1: Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat
Case Study 1: Focused Ear Exam
Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold†about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.
Rubric
Using the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.
· Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.
List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
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