Paediatrics · History + examination

Earache, swelling behind ear

Medium

10 min station · 2 min reading · Curtin Year 3

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B G M C

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in the emergency department of a regional hospital in Northam. Your next patient is Evie Marchant, 3, brought in by her mother with five days of right earache and fever and a swelling behind her right ear.

  1. Take a focused history from her mother

  2. Perform a focused examination

  3. Outline to the examiner:

    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations
  • You do not need to summarise your findings
  • Please verbalise your examination; findings will be provided on request
  • Evie is represented by a doll on her mother's lap
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Investigations

Examination

After treatment