<s>[INST] I have a lump in front of my right ear lobe on side of face. Noticed three weeks ago but it has increased in size and is now very painful when touched.  Some swelling in the cheek area. Have applied both heat and ice which have not helped. No pain inside of mouth. I have also been exhausted for days, sleeping about 17 to 18 hours a day for the last three days.  Have hot and itchy rash on both elbows which has been a reoccurring thing.  And just got over having sores in my mouth which also has been a reoccurring thing. 56 year old female with ckd and a filtration rate of 42.  My doctors soonest appointment is two weeks away. [/INST] Hi and welcome to Chat Doctor.  I understand your concerns and I will try to help you as much as I can. This looks like some benign subcutaneous lesion. In many cases there are glands (lymph nodes) around and behind ears that commonly swell when you have a cold or sore throat. More serious infections may cause the glands to enlarge and become very firm and tender. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibrous or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Infections should be treated with antibiotics. If there is no improvement you should see ENT doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. </s>