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Recurrent or chronic upper respiratory tract infections (otitis media, otorrhoea, sinusitis, tonsillitis )
 Current event with at least one episode in past six months. Symptom complex: fever with unilateral face pain and nasal discharge (sinusitis) or painful swollen eardrum (otitis media), sore throat with productive cough (bronchitis), sore throat (pharyngitis) and barking croup-like cough (LTB), persistent or recurrent ear discharge.

Acute otitis media:
The earliest visible otoscopic change in acute suppurative otitis media consists of redness, edema, and bulging of the pars flaccida.

 

From: Michael Hawke MD. website.
http://otitismedia.hawkelibrary.com/aom

Otorrhoea:

This patient has a long-standing perforation in the right tympanic membrane developed an acute otitis media following a severe viral upper respiratory infection.
A mixture of creamy white purulent material and clear mucus can be seen draining into the external canal through the large antero-inferior perforation.

From: Michael Hawke MD. website.
http://otitismedia.hawkelibrary.com/aom

Otorrhoea:
Otorrhoea:
   
   
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