Examination1.otoscopicexamination:hyperemiaandswellingoftympanicmembrane,perforation2、tenderness3、hearingtest:conductivedeafness4、bloodexamination: WBC ↑5.X-ray:usuallyprofuseand mucoid cells26
26 Examination: 1.otoscopic examination：hyperemia and swelling of tympanic membrane, perforation 2、tenderness 3、hearing test: conductive deafness 4、blood examination：WBC ↑ 5.X-ray: usually profuse and mucoid cells
(preThe imageof tympanic membraneperforation)
27 The image of tympanic membrane（preperforation）
Theimage oftympanicmembrane(postperforation)28
28 The image of tympanic membrane (postperforation)
Differential diagnosis1.Otitisexternaandboil2.Acutemyringitis29
29 Differential diagnosis 1.Otitis externa and boil。 2.Acute myringitis
Treatment1、generaltreatment:(1) antibiotic therapy: full doses, 10-daycourse(2）nasalvasoconstrictordrops(3) symptomatic relief30
30 1、general treatment： （1）antibiotic therapy：full doses, 10- day course （2）nasal vasoconstrictor drops （3）symptomatic relief Treatment