fluid level behind drum
otitis media with effusion
retracted drum
otitis media with effusion
dull coloured drum
otitis media with effusion
difficulty at school and having to shout to hear
hearing loss OME
fullness in the ear
Meniere’s disease
loss of corneal reflex, sensorineural hearing loss, vertigo and tinnitus
acoustic neuroma (assoc with NF-II)
bilateral vestibular schwanomma
think NF-II
vertigo on rotation movement of head
BPPV
battle sign
bruising on skull
temporal bone fractures
pearly white on otoscopy and could cheesy discharge
cholestateoma
saddle nose
Wegner’s
littles area
maxillary, facial and ophthalmic arteries