HEENT SOAP
Ani503
Earpain.docxPt is a female 22 years old came to the clinic complaining of severe “ear pain”
The pain started after he bought a swimming SPA for Triathlon in his back yard for his swimming Training
General inspection:
Head: normal hair distribution, texture, no lesions, no hematomas normocephalic and atraumatic
Eye: no exophthalmos, ptosis. Vision is 20/20
Cranial nerves: oculomotor 3, trochlear 4, abducens 6, no abnormalities.
-Weber test: patient reported hearing the equal sound in both ears which is normal test.
-Rinne test : used to evaluate hearing loss in one ear. Air conduction is greater than bone conduction.
Nose: no discharges, mucosa and turbinate’s looks normal no pain in the frontal or maxillary sinus.
EAR: on the inspection the right ear is red, warm and swelling . Tmpanic membrane clear, pearly, No discharge. Pain when palpation and traction of the tragus
Mouth: no lips deformities, no gingivitis. Dentures no cavities, No tongue deviation, CN 12 intact. Posterior pharynx normal, no exudates. Tonsils grade 2
Neck: Range of motion: normal flexion and hyperextension. No lymph nodes enlargements. No thyroid enlargement.
------Please feel free to add any normal information and plug in with references and APA format as usual.
Expectations
Initial Post:
Please format to support and expand the information I have written, with in citations.
Everything in APA format with intext citations
References: 2 high-level scholarly references within the last 5 years in APA format.
Plagiarism free.
Turnitin receipt.
