Q:

A 38 year old man has just returned from a holiday where he went swimming everyday. For the last few days he has had irritation in both ears. Now his right ear is hot, red, swollen and acutely painful. What is the single most likely diagnosis?

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A 38 year old man has just returned from a holiday where he went swimming everyday. For the last few days he has had irritation in both ears. Now his right ear is hot, red, swollen and acutely painful. What is the single most likely diagnosis?


  1. Foreign body
  2. Impacted earwax
  3. OE (otitis externa)
  4. OM (otitis media)
  5. Perforation of eardrum

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The key is C. Otitis Externa. [The swimming history, irritation in both ears and ear being hot, red, swollen and painful indicates inflammation of the external acoustic meatus called Otitis Externa].

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