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Family Medicine


Answer 7
  1. All of the above (an erythematous tympanic membrane; a bulging, immobile tympanic membrane; loss of identifiable landmarks, such as the handle of the malleus; perforation of the tympanic membrane). Otitis media usually occurs 1 to 7 days following a nasopharyngitis. Vomiting, vertigo, tinnitus, and drainage of the ear are common. In otitis media the otoscope examination reveals a bulging, erythematous, immobile tympanic membrane, with loss of identifiable landmarks such as the handle and short process of the malleus. Perforation of the tympanic membrane can also occur. The normal tympanic membrane should appear translucent and should move freely to negative and positive pressure.

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