Images

Unless otherwise noted, all images are courtesy of David P. McCormick, M.D.

AOM Images


Hemorrhagic AOM	Bullous AOM

AOM with some cobblestoning with edema of tympanic membrane	Severe Bulging AOM

AOM mild bulging	AOM, hemorrhage, opacification, air/fluid levels

AOM with hemorrhagic bulla	AOM with cobblestoning

Massive bulla, AOM	Mild or full bulging, air bubble, erythema, AOM

Bullous AOM	Mild bulging, air/fluid levels, marked erythema, AOM vs. OME Uncertainty

AOM, severe bulging	Severe Bulging AOM

Bullous AOM, bulla	Full or mild bulging, erythema, opaque fluid, AOM vs. OME Uncertainty

Moderate bulging AOM	AOM, tube granulation

AOM, edematous membrane	Hemmorrhagic bulla AOM

Bullous AOM	Mild bulging, bubbles, opaque fluid, tympanosclerosis

Tube granulation, erythema, AOM	AOM*

AOM*	AOM diagram*

*images courtesy of ePROM¹


Child with influenza virus and hyperemia, OME	Clear fluid, retraction, hemorrhage, OME

Opaque fluid in upper anterior quadrants	Opaque fluid with air fluid level

Slight bulging, bubbles, opaque fluid	Slight erythema, OME

Amber OME*	White OME*

OME*	OME*

OME with diagram*

*images courtesy of ePROM¹


Normal	Normal*

Deep Retraction pockets	Drainage and perforation

Foreign body in canal	Ladybug

Healed AOM with hemorrhage	Honey bee in ear canal

Otitis externa with cerumen	Traumatic hemmorhage

Otitis externa	Pebble in ear canal

Perforated tympanic membrane	Tympanosclerosis with Retraction pocket

Pressure equalizing tube, fungus	Pressure equalizing tube in retraction pocket

Pressure equalizing tube	Prominent vasculature, retraction, opaque fluid, air/fluid level

Q tip ear canal	Retraction pockets

*images courtesy of ePROM¹

¹:Kaleida PH, Ploof DL, Kurs-Lasky M, Shaikh N, Colborn DK, Haralam MA, Ray S, Kearney D, Paradise JL, Hoberman A. Pediatrics. Mastering diagnostic skills: Enhancing Proficiency in Otitis Media, a model for diagnostic skills training. 2009 Oct;124(4):e714-20. doi: 10.1542/peds.2008-2838. Epub 2009 Sep 28.