Case Review

Aang Tarsidi 13 y.o

D:
CC: Right ear discharge continuously since 4 mo

Anamnesis:
-thick, fouly,
yellowish discharge
-felt right ear
fullness, hearing
loss, ear pain
(otalgia), and vertigo
-before his
complains, he swam
at the beach and
often having cold
since child
-have taken
medicine, but not

PE:
-ENT Right ear: mucoid
discharge, fouly,
yellowish, perforation of
tympanic membrane,
cone of light (-)
-Hearing Exam
1. Voice test: right
positive on shouting
2. Rinne test (-) in right
ear
3. Weber test:
lateralization to the right
ear
4. Audiogram: right
moderate conductive
hearing loss

Management:

Prognosis:

Ancillary test:
-WBC increase
-bacterial findings:
Streptococcus
pneumonia

Mind Mapping
RF: Often having cold since child

Secondary of Upper Respiratory Infection

In middle ear

Embryology,
anatomy, histology
of ear

Produce
prostaglandin
auditory ossicles

E: Streptococcus pneumonia infection

Microbiology
of
Streptococcus

Inflammation in middle ear

swelling of
Rupture of
scarring in
mucous membrane
tympanic membrane

Ear pain/Otalgia

Perforation of
tympanic m.

Blockage
Ear discharge
Of pharyngotympanic t.
Ear fullness

How ear
discharge form?
DD for ear
discharge

conduction of sound disturb

-Physiology of

Conductive hearing
loss
Hearing

And equilibrium
-Types of Hearing