Which finding on examination is most likely in otitis media?

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Multiple Choice

Which finding on examination is most likely in otitis media?

Explanation:
In otitis media the middle ear is inflamed and filled with fluid or pus, which pushes the tympanic membrane outward. The most likely exam finding is a bulging tympanic membrane, often red and with reduced or absent mobility on pneumatic otoscopy. This reflects pressure from behind the eardrum and impaired acoustic movement. Erythema of the external ear canal points to otitis externa, an infection of the ear canal itself, not the middle ear. While the tympanic membrane may look red in otitis media, the hallmark for OM is the bulging, less mobile tympanic membrane behind which the fluid accumulates.

In otitis media the middle ear is inflamed and filled with fluid or pus, which pushes the tympanic membrane outward. The most likely exam finding is a bulging tympanic membrane, often red and with reduced or absent mobility on pneumatic otoscopy. This reflects pressure from behind the eardrum and impaired acoustic movement. Erythema of the external ear canal points to otitis externa, an infection of the ear canal itself, not the middle ear. While the tympanic membrane may look red in otitis media, the hallmark for OM is the bulging, less mobile tympanic membrane behind which the fluid accumulates.

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