Otology Q10

A 26-year-old presents to his GP with a painful right ear. He says it began to hurt a couple of days ago and has only got worse. He also noticed a small amount of discharge on his pillow upon waking this morning. He reveals that he is a keen swimmer. Otoscopy is difficult due to pain: the tympanic membrane is not easily visualised and there is a purulent discharge present within the canal.

What is the most likely diagnosis?

  • A) Acute otitis media
  • B) Perichondritis
  • C) Acute mastoiditis
  • D) Acute otitis externa
  • E) Malignant otitis externa