A 25-year-old male patient presents with severe pain in the…

A 25-year-old male patient presents with severe pain in the left ear with occasional foul-smelling discharge. The left cheek is swollen. The pain worsens while eating. On examination, he is febrile and has a tender swelling behind the ear. Hearing tests reveal a conductive type of deafness. What is the pathogenesis behind this condition?

28-year-old old HIV positive male presents complaining of fe…

28-year-old old HIV positive male presents complaining of fever, dysphagia, odynophagia, and trismus for the past two days. Physical examination reveals an ill-appearing male with a temperature of 101.3 degrees F, RR 25, pulse 110, BP 130/88, poor dentition, edema in the sublingual area and neck, tongue displaced posteriorly, and drooling unable to tolerate secretion. The immediate management of this patient includes which of the following?

A 35-year-old male construction worker presents to the ER af…

A 35-year-old male construction worker presents to the ER after a work-related crush injury (run over) to the lower left leg. He initially tried to walk the injury off, but he could not bear weight without pain. While being transported to the ER via ambulance, the leg began to swell and he started to lose feeling in his left foot. In the trauma room, he is reporting severe pain in the left lower leg with extreme swelling. On exam, the left lower extremity is intact with no open wounds. It is swollen and painful on palpation. Dorsalis pedis pulse is not palpable on the left. What is the most appropriate clinical intervention for this patient?

A 45-year-old male presents to the office with a complaint o…

A 45-year-old male presents to the office with a complaint of dizziness and vertigo that occurs suddenly when he rolls out of bed in the morning. He denies previous illness or any medical problems. On physical exam you note the presence of lateral nystagmus after a few second latency period. What is your recommendation for this patient?

A 15-year-old male patient presents with pain and swelling o…

A 15-year-old male patient presents with pain and swelling of the left eye and the surrounding area for 3 days. He has trouble opening his eyes and has double vision. He gives a history of recurrent sinusitis, with the most recent episode 2 weeks ago. He had a sore throat 4 days ago. Oral temperature 102°F. Orbital exam reveals edema, tenderness, and conjunctival chemosis, with cellulitis of the area around the eye. What is the pathology behind this condition?

A 67-year-old patient shows up to the emergency department d…

A 67-year-old patient shows up to the emergency department due to severe eye pain with sudden onset of blurry vision and nausea and vomiting.  Patient endorses photophobia and halos around lights.  What is the most appropriate first line treatment for this patient?