An 18 months old toddler presents with 1 week of rhinorrhea, cough and congestion. Her parents report she has been irritable, sleeping restlessly, and not eating well. On examination, the toddler appears irritable and apprehensive. She is febrile and has signs of a viral respiratory infection, including rhinorrhea and congestion. Otoscopy reveals a bulging, erythematous landmarks. History reveals that she has had all her vaccination, attends day care and both parents smoke. What are the most important differential diagnoses?

Of the relevant differential diagnoses, it is important to rule out mastoiditis, cholesteatoma, otosclerosis, tympanosclerosis, tympanic membrane perforation and foreign body obstruction.

Categorised in:

This post was written by Omar Rifai