Reference no: EM133150833

A 70-year-old male was seen in his primary care physician's office with complaints of not being able to hear out of both ears, but the right ear seemed to be worse. He said his ears felt "plugged." Several years ago, a different physician cleaned wax out of the patient's ears. Upon physical examination, the physician found the patient had bilateral hard impacted ear wax in both ears. The physician's nurse gently worked to soften and remove the ear wax out of both ears. Afterward, the patient commented on how much better his ears felt and how his ­hearing had improved. The patient and his wife were counseled on how to use over-the-counter ear drops to soften ear wax. The patient was encouraged to come back to the office if he felt that his ears were plugged in the future. The diagnosis for this encounter was documented as ­cerumen, both ears.

First-Listed Diagnosis: __________

Secondary Diagnoses: _________