Draining ear

The patient had chronic suppurative otitis media with purulent discharge. The FP started the patient on amoxicillin/clavulanate 875 mg/125 mg bid for 10 days and referred him to an ear nose and throat (ENT) specialist. The ENT ordered a computed tomography scan to see if the patient had a cholesteatoma, but did not find any evidence of one.

When the acute infection cleared, the ear canal was cleaned with an operating microscope and a perforated tympanic membrane (TM) was found. The patient opted to have a tympanoplasty to repair his TM.

Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Rayala B. Otitis externa. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:180-184.

To learn more about the Color Atlas of Family Medicine, see: http://www.amazon.com/Color-Family-Medicine-Richard-Usatine/dp/0071769641/ref=dp_ob_title_bk

You can now get the second edition of the Color Atlas of Family Medicine as an app for mobile devices by clicking this link: http://usatinemedia.com/

The patient had chronic suppurative otitis media with purulent discharge. The FP started the patient on amoxicillin/clavulanate 875 mg/125 mg bid for 10 days and referred him to an ear nose and throat (ENT) specialist. The ENT ordered a computed tomography scan to see if the patient had a cholesteatoma, but did not find any evidence of one.

When the acute infection cleared, the ear canal was cleaned with an operating microscope and a perforated tympanic membrane (TM) was found. The patient opted to have a tympanoplasty to repair his TM.

Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Rayala B. Otitis externa. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:180-184.

To learn more about the Color Atlas of Family Medicine, see: http://www.amazon.com/Color-Family-Medicine-Richard-Usatine/dp/0071769641/ref=dp_ob_title_bk

You can now get the second edition of the Color Atlas of Family Medicine as an app for mobile devices by clicking this link: http://usatinemedia.com/

The patient had chronic suppurative otitis media with purulent discharge. The FP started the patient on amoxicillin/clavulanate 875 mg/125 mg bid for 10 days and referred him to an ear nose and throat (ENT) specialist. The ENT ordered a computed tomography scan to see if the patient had a cholesteatoma, but did not find any evidence of one.

When the acute infection cleared, the ear canal was cleaned with an operating microscope and a perforated tympanic membrane (TM) was found. The patient opted to have a tympanoplasty to repair his TM.

Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Rayala B. Otitis externa. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. Color Atlas of Family Medicine. 2nd ed. New York, NY: McGraw-Hill; 2013:180-184.

To learn more about the Color Atlas of Family Medicine, see: http://www.amazon.com/Color-Family-Medicine-Richard-Usatine/dp/0071769641/ref=dp_ob_title_bk

You can now get the second edition of the Color Atlas of Family Medicine as an app for mobile devices by clicking this link: http://usatinemedia.com/