Otitis media and externa (pediatrics) Quiz: Ace Your Exams
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A 7-year-old boy is brought to an immediate care center for evaluation of ear pain. The parent reports that yesterday the patient returned home from his third week of weekly swimming lessons complaining of left ear fullness and pain. They noticed clear drainage from the ear. He does not have rhinorrhea or nasal congestion. The patient has otherwise been healthy recently and does not take any regular medication. Temperature is 37.44°C (99.4°F), blood pressure is 102/62 mmHg, pulse is 96/min, respiratory rate is 16/min, and oxygen saturation is 97% on room air. Physical examination demonstrates edema and otorrhea of the left ear canal. Culture of the fluid is positive for Pseudomonas aeruginosa. Which of the following additional physical examination findings would be consistent with the likely underlying condition?
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