Seen in the clinic today . . .

June 2, 2004

Seen in the clinic today . . .
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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{ 3 comments… read them below or add one }

1 Kent June 2, 2004 at 6:15 pm

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.

2 Jacob June 2, 2004 at 7:37 pm

yeh .. looks like something bad .. I’m not so sure that’s a cholesteotoma .. my question is .. how’d you take the picture!

3 Kent June 2, 2004 at 7:41 pm

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. ;-)

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