Ear wax removal is necessary when ear wax build up becomes impacted. Symptoms causes by earwax blockage include: earache (otalgia), conductive hearing loss, blocked ear, vertigo, tinnitus, itchiness and irritation, occlusion etc.
The client attended with Otitis Externa and Media of the right ear. He has a long-standing central-inferior perforation following a scuba-diving accident. His current infection occurred whilst swimming on holiday a month ago.
Oto-endosocpic ear examination revealed occluding debris and otorrhea of the right auditory meatus, which was also heavily inflamed. I successfully managed to remove the occlusion using endoscopic ear suction, revealing his abovementioned perforation, which was damp and wet.
I referred to the client to their GP to receive treatment for his infection. He was prescribed amoxicillin on a 7 day course but this did not resolve the infection. He therefore returned to his GP who instead prescribed doxycycline. He has been taking this twice a day for the last 5 days but has developed side-effects such as vertigo and nausea, even leading to vomiting. Unfortunately, his infection is still active and his ear has been discharging.
I again successfully removed the occluding debris and otorrhea from his auditory meatus. There was visible middle-ear effusion present, and therefore I request the client to perform the Val Salva to see if this could be forced out of his middle-ear in order for me to microsuction. Once he had, I was able to suction the middle-ear effusion from his auditory canal. The client has been referred back to his GP and he would now benefit from a referral to ENT.
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