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
OME Images
Child with influenza virus and hyperemia, OME | Clear fluid, retraction, hemorrhage, OME |
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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
Other Images
Normal | Normal* |
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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.