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This Concept Map, created with IHMC CmapTools, has information related to: 557_excessive cerumen, Exclusions for self-treatment? Yes Medical referral, Signs & symptoms of infection present? No Recommend carbamide peroxide 6.5% in anhydrous glycerin. Explain aural irrigation technique, Use of improper cerumen- removal methods or unapproved medications? Yes Signs & symptoms of infection present?, Obtain medical history. Obtain medication & CAM history, including intended use, previous use, length & frequency of use of medications. Exclusions for self-treatment?, Treatment sucessful? No Medical referral, Patient with complaint consistent with excessive/impacted cerumen. Obtain medical history. Obtain medication & CAM history, including intended use, previous use, length & frequency of use of medications., Exclusions for self-treatment? No Use of improper cerumen- removal methods or unapproved medications?, Use of improper cerumen- removal methods or unapproved medications? No Recommend carbamide peroxide 6.5% in anhydrous glycerin. Explain aural irrigation technique, Treatment sucessful? Counsel on proper ear hygiene., Signs & symptoms of infection present? Yes Medical referral, Recommend carbamide peroxide 6.5% in anhydrous glycerin. Explain aural irrigation technique Treatment sucessful?