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Old 09-07-2012
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A 55 year old female presents to the office with a one week history of left sided ear pain and itchiness. The pain is especially bothersome at night and is exacerbated by chewing. She denies hearing loss.Her past medical history is significant for hypertension, type 2 Diabetes mellitus, hyperlipidemia and gout.She has missed her last 2 appointments with her primary care physician. Her temp is 38.3C (101.1F) ,BP is 140/90mmHg and pulse 98/min.On examination,there is granulation tissue in the left ear canal with a scant amount of discharge .Which of the following is the best initial treatment for this patient ?

A. Topical neomycin
B. Topical low-strenght corticosteroids
C. Ciprofloxacin
D. Ampicillin/sulbactam
E. Surgical debridement
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Last edited by step_enhancer; 09-07-2012 at 11:10 AM.
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Old 09-07-2012
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A 55 year old female presents to the office with a one week history of left sided ear pain and itchiness. The pain is especially bothersome at night and is exacerbated by chewing. She denies hearing loss.Her past medical history is significant for hypertension, type 2 Diabetes mellitus, hyperlipidemia and gout.She has missed her last 2 appointments with her primary care physician. Her temp is 38.3C (101.1F) ,BP is 140/90mmHg and pulse 98/min.On examination,there is granulation tissue in the left ear canal with a scant amount of discharge .Which of the following is the best initial treatment for this patient ?

A. Topical neomycin
B. Topical low-strenght corticosteroids
C. Ciprofloxacin
D. Ampicillin/sulbactam
E. Surgical debridement
C. Ciprofloxacin covers Pseudomonas.

Last edited by Novobiocin; 09-07-2012 at 11:20 AM.
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Old 09-07-2012
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Ciprofloxacin, she is diabetic and prone to external otitis media in which pseudomonas is a common bastard
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Old 09-07-2012
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Originally Posted by step_enhancer View Post
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A 55 year old female presents to the office with a one week history of left sided ear pain and itchiness. The pain is especially bothersome at night and is exacerbated by chewing. She denies hearing loss.Her past medical history is significant for hypertension, type 2 Diabetes mellitus, hyperlipidemia and gout.She has missed her last 2 appointments with her primary care physician. Her temp is 38.3C (101.1F) ,BP is 140/90mmHg and pulse 98/min.On examination,there is granulation tissue in the left ear canal with a scant amount of discharge .Which of the following is the best initial treatment for this patient ?

A. Topical neomycin
B. Topical low-strenght corticosteroids
C. Ciprofloxacin
D. Ampicillin/sulbactam
E. Surgical debridement

C.) ciprofloxacin
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