A 32-year-old woman presents with onset of a severe occipital headache and low-grade fever. Aggravation- bending forward, skipping meals Her physical examination reveals an area of erythema and swelling posterior to the right ear and a nonmobile tympanic membrane in that ear. Appetite, thirst- normal Stool on-off constipation Urine- normal temp- 99.5 F RR- 23/min