LESSON 1: Evaluation and Management of Ear and Nose Disorders
ASSIGNMENT: Differentiating Conditions of the Ear
By the end of this assignment, you will be able to:
• Describe the causes of various conditions of the ear. (CO7)
• Demonstrate advanced skills in the physical assessment, pharmacology, and management of ear disorders. (CO7, CO8)
Assignment Guidelines
A patient presents to the clinic with complaints of inner ear disturbance. How would you differentiate between labyrinthitis, benign paroxysmal positional vertigo, and Meniere’s disease? Include pathophysiology, clinical presentation, physical examination, diagnostics, and treatment. Finally, select only one of the ear complaints to provide a brief patient SOAP note on at the end of your write up.
Your response should be at least 2-3 pages. Be sure to write using APA format. Cite at least two peer-reviewed, reliable sources that you used to develop your plan. Provide both in-text citations and full APA citations of the sources.

Learning Materials
Before attempting to complete your learning activities for this week, review the following learning materials.
Read the following in your Primary care: Interprofessional collaborative practice textbook:
• Chapter 67, “Otitis External”
• Chapter 68, “Otitis Media”
• Chapter 69, “Tympanic Membrane Perforation”
• Chapter 70, “Chronic Nasal Congestion and Discharge”
• Chapter 73, “Rhinitis”
• Chapter 74, “Sinusitis”
Read the following selections in your Advanced health assessment & clinical diagnosis in the primary care textbook:
• Chapter 15, “Earache”
• Chapter 24, “Nasal Symptoms and Sinus Congestion”

The book used for this class and for this assignment is cited here:

Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby.


Dains, J., Baumann, L., & Scheibel, P. (2019). Advanced health assessment & clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Criteria Expectations
Content Follows directions, answers all questions thoroughly and appropriately.
Grasp of significance Projects thorough knowledge and critical understanding of the significance of the assignment to professional development as an FNP.
Clarity and Logic All answers are correct with a clear and logical path to reach a solution to the problem presented.
Terminology Uses appropriate terminology correctly throughout.
References Contains no errors in grammar or spelling. Uses references and cites them properly using APA format.

Criteria Meets Expectations
SOAP Note content All components of subjective and objective data are present and supportive of the assessment and treatment plan. Proper terminology is implemented throughout the assignment.
Structure and Mechanics Paper is well organized.
No or very few spelling, grammar, and/or punctuation errors.
Resources Correct APA citations and references provided.

Below is a link to an article of how the soap note portion of this assignment should be:

components of SOAP NOTE:
SOAP Notes
S: Subjective
Provide information regarding the patient behavior and/or status.
O: Objective
Provide measurable, quantifiable, and observable data.
A: Assessment
Otherwise known as "diagnosis." Interpret the meaning of the subjective and objective information provided.
P: Plan
Provide a treatment plan. The plan should include anticipated frequency and duration, what should be done during future visits, recommendations, and any changes.