35-yo female came in today with right-sided ear pain. Here is what I found on otoscopic exam. Any ideas?
(Disclaimer: Any pictures shown are not of the patient. All identifying features, including race, age, gender and ethnicity have been modified significantly or fictionalized.)
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Ouch! Looks like maybe a really nasty otitis media with perforation and near destruction of the TM, and what appears to be a cholesteatoma (at 10:00 in your photo). I’d send this one to an otolaryngologist ASAP.
yeh .. looks like something bad .. I’m not so sure that’s a cholesteotoma .. my question is .. how’d you take the picture!
He probably used one of these:
http://www.preferredproduct.com/video_otoscope.htm
It costs over a grand, but hey…he’s in a teaching facility.