[##]-year-old [male/female] with history and exam consistent with
auricular hematoma (cauliflower ear) of the [right/left] ear.
Initial considerations in
this patient included auricular hematoma (cauliflower ear), otitis externa, and
tympanic membrane rupture among others.
Patient presented with
[right/left]-sided otalgia with recent history of trauma from [describe], and
evidence of swelling of the pinna consistent with auricular hematoma. No evidence of associated otorrhea, swelling
or debris in the external auditory canal, fever, or other findings suggestive
of otitis externa. After discussion of
risks, benefits, and alternatives and after obtaining appropriate consent, [incision
and drainage/needle aspiration] of the patient’s [right/left]-sided auricular
hematoma was performed in the ED. An
appropriate pressure dressing was placed over the ear with discussion of wound
care and follow up. No other evidence of
significant injury noted on exam. No
associated hearing loss or evidence of rupture of the tympanic membrane.
Prior to discharge, we
discussed return precautions, treatment with appropriately placed pressure
dressing, and follow up with primary care doctor within one week for further
evaluation, and the patient demonstrated understanding and agreement.
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