Earache after a dive

Instructions

You are a medical student on placement in general practice. Your next patient is Tessa Marchbank, 31, a physiotherapist presenting with pain and a blocked feeling in her left ear since a scuba dive off Rottnest two days ago.

1. 1

   Examine the patient

2. 2

   Outline to the examiner:

   • Your most likely diagnosis and differentials

• You do not need to take a history or summarise your findings
• Please verbalise your examination; findings will be provided on request
• The examiner will ask you questions at the end.