What are the common examination findings?
Hearing loss
Pain
Perforated drum on otoscopy
What are the investigations?
To finish the exam i would like to - full crania nerve examination and refer to audiometry
By the bed - History, obs
Bloods - FBC
Other - X ray ?trauma
What are the key investigation findings?
Peforated drum
Conductive hearing loss
What is the treatment?
Conservative - Exaplain what it is. Simple perforation nothing
Medical -?signs of infection then amoxiciiln
Surgical - if big enough need tymopanoplasty
What are the risk factors?
Infection
Trauma
Loud noise