What laboratory test or diagnostic imaging studies

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Reference no: EM133925072

Question

Kevin's mother was at work when she received a call from the day care where Kevin, her 1-year old son, was being watched. The child care provider told Kevin's mother that he had been fussy that morning, pulling at his left ear, napped only a short while, refused his bottle, and was running a temperature of 101.1°F. Kevin's mother picked him up from the day care and called your office and scheduled an appointment for today. Kevin's mother denies he has had a fever but admits she did not take his temperature. His immunizations are up to date and he is appropriate for his developmental age. He does not take any medications. PMH: Normal vaginal delivery at 40 weeks' gestation. No ER or hospitalizations and passed her developmental screening at her last well-child visit

Family History: Lives at home with both parents. His mother is a teacher and his father is a commercial fisherman. The family has cat and his father smokes.

Kevin's vital signs this visit are:

Temperature 101.1°F. The rest of his vital signs are within normal limits for his age. His weight today is 20 lbs.

1. What 3-5 most pertinent questions would you ask and why?

2. What laboratory test or diagnostic imaging studies should be ordered as part of your workup?

3. State and discuss 3 differential diagnoses for ear pain.

4. What is the most likely differential diagnosis and why?

5. What is your plan of treatment?

Reference no: EM133925072

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