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MMLU / A 3-year-old girl is brought to the physician because of fever and left ear pain…

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question

A 3-year-old girl is brought to the physician because of fever and left ear pain for 3 days. She has been treated with amoxicillin for the past 5 days for left otitis media. Her temperature is 38.5°C (101.3°F), pulse is 100/min, respirations are 20/min, and blood pressure is 80/60 mm Hg. Examination shows the left ear displaced forward and laterally from the head. There is edema and tenderness behind the left ear. Otoscopic examination shows a red, dull, left tympanic membrane that does not move. Which of the following is the most likely diagnosis?

choices

  1. Acoustic neuroma
  2. Labyrinthitis
  3. Lateral sinus thrombosis
  4. Mastoiditis

subject

professional_medicine

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