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Otitis media Search CUMC

The presence of middle ear effusion fluid is indicated by fullness or bulging of the tympanic membrane, an air-fluid level behind the membrane, or fluid coming out of the ear this means there is a perforation. Sometimes one just sees droplets of fluid behind the ear drum. Otoscopic findings of a bulging tympanic membrane with impaired mobility is highly predictive of AOM. A red tympanic membrane is less predictive since the redness may be a flush that comes from crying. However, in an adult, a red TM is modestly helpful.

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