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Otitis media (Acute (Treatment (Antibiotics, Nasal decongestants, Ear…

- - - - Non-perforated
        
        Pulsating, shooting, prickly pain in ear
        
        General weakness
        
        Fever 38-39 C
        
        Inflammatory changes in CBC
      - Perforated
        
        Perforation of ear drum
        
        purulent discharges from ear
        
        Pain subsides, fever subsides
        
        Pulsating reflex at otoscopy (pus discharge)
      - Reparative
        
        puruluent discharge stops, inflammation subsides
        
        eardrum color returns to normal
        
        Hearing loss remains, is restored slowly
    - - Sudden onset (at night)
      - Fever 39-40 C
      - child twists head and holds ill ear
      - vomit, GI disorders
  - - - Hyperemia of ear drum
      - thickening of ear drum
      - Pus accumulation in tympanic cavity may push eardrum outward