Otitis Media without Effusion

Aka: Otitis Media without Effusion, Myringitis, Bullous Myringitis

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II. Signs

  1. Tympanic Membrane erythema
  2. Opacification of TM without effusion
  3. Other findings
    1. Bullous Myringitis
      1. Acute pain with a red Tympanic Membrane AND hemorrhagic bullae (or serosanguinous)
      2. Viral causes are most common (esp. RSV, Influenza A)
      3. Of Bacterial causes, Streptococcus Pneumoniae is most common

III. Causes

  1. Early Acute Otitis Media
  2. Resolution of Otitis Media

IV. Resources

  1. Bullous Myringitis (Stat Pearls)
    1. https://www.ncbi.nlm.nih.gov/books/NBK553029/

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