Clinical Judgement: Case Study

A three-year-old child presents with rhinorrhea and a 38.7 degrees Celsius fever. The child’s caregiver stated the child has been tugging their left ear, saying “ouch,” and has been inconsolable for the past 6 hours. The child did not sleep well last night. No nausea, vomiting, or diarrhea. Client is eating and drinking well. Client attends daycare and has no known allergies. No family history of vestibulocochlear disease. Pulse 140, respirations 28, oxygen saturations 97%, blood pressure 82/44 mm Hg. Upon inspection, there is no swelling or erythema of the external ear or external ear canal.