Q:

A 17 year old man has acute pain and earache on the right side of his face. Temperature 38.4C and has extensive pre-auricular swelling on the right, tender on palpation bilaterally. What is the single most likely diagnosis?

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A 17 year old man has acute pain and earache on the right side of his face. Temperature 38.4C and has extensive pre-auricular swelling on the right, tender on palpation bilaterally. What is the single most likely diagnosis?


  1. Acute mastoiditis
  2. Acute otitis externa
  3. Acute OM
  4. Mumps
  5. OM with effusion

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The key is D. Mumps. [C/F: prodromal malaise, increased temperature, painful parotid swelling, becoming bilateral in 70%. OHCS 9th edition, page 142].

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