Case I
The first thing to think about is a viral herpes zoster infection, due to the presence of vesicles in the ear and external auditory meatus.Thanks @air-clinic, for the opportunity. I love you.
It is more common in immunosuppressed patients.
This patient must be aware that he does not develop a facial paralysis, in which case it would be a Ramsay Hunt syndrome. Other complications include hearing loss, vertigo, nystagmus and involvement of other cranial nerves, mainly the V-pair.
The treatment is based on antivirals such as acyclovir, in the first 72 hours anti-inflammatory and steroids.
Case 2
I can think of a serious traumatic brain injury, related to his profession, because he is a boxer, he may have received a strong punch to the head that probably generated a hemorrhage or even a cranial fracture and that's why he would have a headache, convulsions and altered consciousness .
This patient must be hospitalized and have a CT scan of the skull or a Nuclear Magnetic Resonance to evaluate if surgery is required.
This is a lovely read, i love beautiful approach you came up with each diagnosis.
Thanks you for the interview. I hope you feel good
Today i am better and much stronger, never knew acute Gastroenteritis was that bad lol, i had a one on one experience and I can pass any clinical exam on it now. Hehehe