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[DOC File]Long case of ear (Chronic Suppurative Otitis media)
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Pain in the ear/around the ear/headache/neck: (Right/left/both): For the last_____ years/months/days. Perception of sound in the ear in the absence of any external stimulus: (Right/left/both ears): For the last _____ years/months/days. Facial asymmetry (Right/left/both sides): For the last _____ years/months/days
adult ear pain intermittent sharp pain

[DOC File]Jackson Ear Clinic, P
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Both ears Right Left. Yes No 4. Pain in your ears? Both ears Right Left. Yes No 5. Discharge from your ears? Both ears Right Left. IV. Have you experienced any of the following symptoms? Please circle yes or no and circle if . constant or if in episodes. Yes No 1. Double vision, blurred vision or blindness.
what can cause an earache in adults

[DOC File]Infection Criteria Checklist - HealthInsight
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EAR INFECTION: Either a physician’s diagnosis or drainage from one or both ears, ear pain or redness. Nonpurulent drainage must be accompanied by symptoms such as ear pain or redness. VIRAL HEPATITIS: Symptoms are variable and may include jaundice, sudden loss of appetite, nausea and vomiting, fever, malaise, upper respiratory symptoms ...
chronic ear pain in adults

[DOC File]LAB 3: HEAD & NECK
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Ears: Pinna, t. ragus, and external canal. non-tender. Ear canal clear and tympanic membranes (TMs) with good cone of light. Acuity good to whispered voice. Weber midline. AC > BC (Rinne) in both ears. Nose: Nasal mucosa pink, septum midline. Nares patent bilaterally. Olfaction intact.
ear pain in one ear

PATIENT QUESTIONAIRE
20.Do you have pain in your ears? No. Yes If yes, please circle which ear. Right Left Both ears. ... No . Yes If yes, please circle which ear. Right Left Both ears. 22.Check all that apply to your ability to. function: Have fallen in the last year. Difficulty walking on grass or gravel. Have fallen in the last six months. Can’t leave home alone.
pain in both ears cancer

[DOCX File]PatientPop
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☐ Smell ☐ Taste ☐ Both . Is the sensation lost? ☐ Yes ☐ No. Is the sensation altered? ☐ Yes ☐ No If “Yes,” in what way? ... ☐difficulty hearing ☐ear pain ☐vertigo ☐tinnitus (ringing) ☐ears feel pressured ☐discharge from ears. Nose: ☐frequent nosebleeds ☐nasal …
ear pain causes

[DOC File]CHIEF Complaints or Symptoms: Name: Date:
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Ringing in Ears Yes No Left Right Both Ears Blurry Vision Yes No Left Right Both Eyes Wrist Pain Yes No Left Right Both Wrists Jaw Pain Yes No Left Right Both Sides Dizziness nervousness fatigue anxiety depression excessive irritability . fear of driving in a car a loss of concentration jaw clenching grinding of teeth at night nightmares ...
ear infection in both ears

Pain in both ears