Fluid level behind drum, retracted drum, dull colour?
Otitis media with effusion
Difficult at school + have to shout loud to hear?
Hearing loss -> possible OME
Feeling of fullness in the ear?
Meniere’s disease
Loss of corneal reflex (+sensorineural hearing loss, vertigo and tinnitus)?
Acoustic neuroma (Vestibular Schwannoma -> associated NF2
Vertigo on rotation movement of the head?
BPPV
Battle sign?
Bruising on the skull -> very specific to mastoid process of temporal bone fractures
Pearly white on otoscope and foul, cheesy discharge?
Cholesteatoma