Final answer:
Two presenting symptoms of Malignant/Necrotizing Otitis Externa are itching, redness, discomfort of the ear canal, fever, pain, and swelling. Next steps in management include ordering tests to diagnose the problem. These tests can help confirm the diagnosis and guide the appropriate treatment.
Step-by-step explanation:
Two presenting symptoms of Malignant/Necrotizing Otitis Externa are itching, redness, discomfort of the ear canal, and the progression of these symptoms to fever, pain, and swelling. Another symptom is the erythema and severe peeling of the skin.
The next best step in management would be to order tests to try to diagnose the problem. In the case of Malignant/Necrotizing Otitis Externa, a physician may order a culture of the fluid draining from the ear canal and blood work, including a white blood cell count. These tests can help confirm the diagnosis and guide the appropriate treatment.