Q:

A young girl returns from holidays in Spain. She complains of discharge from her ear and complains of tragal tenderness. Exam: tympanic membance normal. Aural toilet has been done. What is the next appropriate medicine?

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A young girl returns from holidays in Spain. She complains of discharge from her ear and complains of tragal tenderness. Exam: tympanic membance normal. Aural toilet has been done. What is the next appropriate medicine?


  1. Antibiotic PO
  2. Antibiotic IV
  3. Steroid PO
  4. Steroid drop
  5. Antibiotic drop with steroid

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The key is E. Antibiotic drop with steroid. [Discharge from ear and tragal tenderness are features of otitis externa. Key treatment is aural toileting. Drop advised is Sofradex (Framycetin + dexamethasone) OHCS, 9th edition, page 542].

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