Question

The patient complains of auditory decrease on the right side, purulent discharge from the ear, swelling at the post-auricular area. The patient has had these symptoms for 3 weeks after the flu. Body temperature - 37 degrees Celsius, plenty of serous-purulent discharge from the ear, slight edema of the mucosa in the nose. In the right ear, the pinna is attracted forward, and there is tender fluctuating swelling in the post-auricular area. The upper-posterior wall of the external auditory meatus is hanging over, and the lumen is narrowed. The eardrum has a central perforation and pulsating pus symptom. Whisper test results are 1m on the right and 6m on the left. Diagnosis? A. Right-side acute mastoiditis, subperiosteal abscess B. Post-auricular lymphadenitis C. Acute otitis media D. Right-side external otitis E. Right-side purulent parotitis

          The patient complains of auditory decrease on the right side, purulent discharge from the ear, swelling at the post-auricular area. The patient has had these symptoms for 3 weeks after the flu. Body temperature - 37 degrees Celsius, plenty of serous-purulent discharge from the ear, slight edema of the mucosa in the nose. In the right ear, the pinna is attracted forward, and there is tender fluctuating swelling in the post-auricular area. The upper-posterior wall of the external auditory meatus is hanging over, and the lumen is narrowed. The eardrum has a central perforation and pulsating pus symptom. Whisper test results are 1m on the right and 6m on the left. 

Diagnosis?
A. Right-side acute mastoiditis, subperiosteal abscess
B. Post-auricular lymphadenitis
C. Acute otitis media
D. Right-side external otitis
E. Right-side purulent parotitis

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Added by Victoria T.

Biology for AP Courses

Julianne Zedalis, John Eggebrecht

Instant Answer

Solved by Expert Danielle Ashley

11/16/2022

Step 1

These symptoms point towards an inner ear infection. ** Show more…

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The patient complains of auditory decrease on the right side, purulent discharge from the ear, swelling at the post-auricular area. The patient has had these symptoms for 3 weeks after the flu. Body temperature - 37 degrees Celsius, plenty of serous-purulent discharge from the ear, slight edema of the mucosa in the nose. In the right ear, the pinna is attracted forward, and there is tender fluctuating swelling in the post-auricular area. The upper-posterior wall of the external auditory meatus is hanging over, and the lumen is narrowed. The eardrum has a central perforation and pulsating pus symptom. Whisper test results are 1m on the right and 6m on the left. Diagnosis? A. Right-side acute mastoiditis, subperiosteal abscess B. Post-auricular lymphadenitis C. Acute otitis media D. Right-side external otitis E. Right-side purulent parotitis

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Transcript

00:02 Hello there.

00:04 Okay, that's good.

00:06 Hello there.

00:07 So for this question, we see the patient is complaining about their ears.

00:13 So let's read into the description of what the diagnosis would be.

00:19 So the patient complains of audition decrease at the right side, a perruent discharge from the ear.

00:32 At the post orricular area.

00:41 The patient has these symptoms for three months after the flu.

00:46 The body temperature is 36 degrees.

00:50 Plenty of serious prolulent.

00:56 Sorry.

00:57 I keep bleturing the word.

01:00 Discharge from the ear.

01:02 At the nose, slight edema of the mucus, the right ear pin pinna is attached forward at the post um auricular area tender fluctuating um in tune men's sense sorry and then more symptoms of the upper posterior walls of the exterior auditorial mantras mantis i mean, matrix, sorry, is over, is hanging over, and the lumen is narrow.

01:46 The eardrum central perforation is pulsating plus symptoms.

01:55 Whistle right, one meter to the left, i mean, whistle on the right side is one meters, and whistle to the left is six meters.

02:05 So what is the diagnosis based off of those descriptions? i'll let you read through it again and look over the choices to see which one seems to fit with the description properly...

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