11yr pt came with otalgia and hearing loss... spot the dx..

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Impacted wax with acute otitis media. Give Waxrim ear drops 8 drops q.i.d for 3 days and do syringing. Tab. Azithromycin 250 mg o.d before food and Tab. Ibugesic plus s.o.s

Impacted wax Cerumen impaction

Impacted wax causing conductive deafness

Was in ear.

Please read " wax " instead of " was " in above answer.
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Both ears impacted cerumen advise wax solvents like soliwax drops for week followed by syringing both ears

Acute otitis media due to impacted wax First antibiotics Amoxicillin Analgesics Paracetamol Waxonil ear drops 1drop in each ear three times daily for 2 weeks, followed by syringing

CERUIMEN, IMPACTED.

Waxolith

Impacted wax conductive deafness

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