Q:

A 4 year old boy presents with fever, severe ear ache, vomiting and anorexia. He also has moderate tonsillitis. Examination: tympanic membrane bulging. He came to the GP a few days ago and was diagnosed with URTI. What is the most appropriate diagnosis?

waelhammad
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2022-11-05
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A 4 year old boy presents with fever, severe ear ache, vomiting and anorexia. He also has moderate tonsillitis. Examination: tympanic membrane bulging. He came to the GP a few days ago and was diagnosed with URTI. What is the most appropriate diagnosis?

  1. OE
  2. Acute OM
  3. Serous otitis
  4. Chronic suppurative OM
  5. Mastoiditis
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waelhammad
2022-11-05
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The key is B. Acute OM. [High fever, severe earache, vomiting, bulging tympanic membrane and H/O associated URTI is highly suggestive of acute OM].

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