MEDizzy
MEDizzy
USMLE
The Ear
A 2½-yr-old boy presents with an upper respiratory tract infection and axillary temperature of 38.5oC. He has not complained of ear pain. On pneumatic otoscopy, his left eardrum is pink, translucent, and retracted, with 3+/4+ mobility; his right eardrum is reddish, opaque, retracted, and immobile. Which of the following is the likeliest ear-related diagnosis?
Explanation
ExplanationThe right ear has classic features on physical examination for an otitis media with effusion. Not all children with otitis media complain of ear pain, whereas all children who tug at their ears don't have otitis media.
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