Ear, nose and throat
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Assessment of Earache and Sore Throat
Introduction to Triage Assessment
Greeting and Confirmation: Hello, I'm Mark, the triage nurse on duty tonight. Could you please confirm your name and date of birth for me?
Patient Details: Yes, it's Dave Smith, 16th May '64.
Overview of Triage Process
Triage Explanation: Triage involves a quick assessment to determine the appropriate next steps for your care.
Blood Pressure Check: Could we check your blood pressure while we talk?
Patient's Symptoms and Concerns
Chief Complaint: Dave presents with earache and a sore throat.
- Ear Symptoms: Initially started with earache and a sensation of water, now painful.
- Throat Symptoms: Severe throat pain making swallowing difficult despite over-the-counter remedies.
Assessment and Findings
Initial Assessment: Temperature slightly elevated, pulse elevated.
Physical Examination: Examined throat and ear for signs of infection and discomfort.
Recommendation for Further Care
Next Steps: Based on symptoms, referral to GP at the Urgent Care Centre for further evaluation and treatment.
Medication: Doctor likely to prescribe suitable pain relief considering the severity of throat pain.
Conclusion and Directions
Direction to Urgent Care: To reach the Urgent Care Centre, exit here, turn right,