A 3-year-old has fever, ear pain and a bulging red tympanic membrane. What is the most likely diagnosis?
Answer and explanation
Correct answer: D. Acute otitis media
- Step 1: The picture of a bulging red tympanic membrane fits Acute otitis media.
Answer
Acute otitis media.
Why not the others: 'Otitis externa': it gives pain on pulling the pinna with a swollen, discharging canal. 'Glue ear': it is a painless middle ear effusion with a dull retracted drum. 'Wax impaction': it blocks the canal without fever or a red bulging drum.
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