Exam and history most consistent with AOM. I have a low suspicion at this time for mastoiditis, malignant otitis externa, herpes or ramsey hunt syndrome, or retained foreign body. Will give wait and see prescription for amoxicillin. If symptoms worsen or persist for 48-72 then pt to fill the prescription_. Cautious return precautions discussed w/ full understanding.
Exam and history are most consistent with Otitis Externa. No diabetes or  immunosuppression. Low suspicion for mastoiditis, malignant otitis externa, AOM, herpes zoster oticus. No perforated tympanic membrane, discharged with Ciprodex_ and patient to follow up with PMD in 1 to 2 days.
MDM for different chief complaints
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol