Assessment of the head ears and eyes

Module 5

83 year old male in an assistive living facility comes to the nursing station and is C/O pain. He states increased pain in his right ear and decreased hearing. He denies ear discharge. He endorses vertigo for 7 months that is precipitated by sudden changes in head position. His weight is down 5 pounds since last week to 105 pounds. His vitals are 144/82, HR 63, temp 99.0, RR 16 and O2 sat of 97% on room air. On physical exam you notice that