Question

A patient presented with the following picture of Tympanic Membrane. Most Probable diagnosis (marked with arrow):

• A. Tubercular Otitis Media
• B. Syphilitic Otitis Media
• C. Pseudomonas infection
• D. Fungal Otitis Media

Answer 1

The Correct Option is A

The question involves identifying the probable diagnosis based on the tympanic membrane condition, marked with an arrow in the provided image. We initially examine the provided options in the context of ENT knowledge:

• Tubercular Otitis Media: Characteristically presents with multiple perforations in the tympanic membrane and a pale, edematous appearance.
• Syphilitic Otitis Media: Often associated with gummas and more advanced stages of syphilis, not specific membrane changes.
• Pseudomonas Infection: Typically results in a greenish discharge, with possible necrotizing otitis externa but does not characteristically affect the tympanic membrane with specific markings as shown.
• Fungal Otitis Media: Manifests with a thickened, hyperemic tympanic membrane, usually with visible fungal elements, differing from distinct perforations.

Observation of the image and given descriptions rely on these clinical features. The most characteristic finding of Tubercular Otitis Media is multiple perforations, which aligns with the mentioned conditions likely prompted by clinical examination through visualization under otoscopy, revealing such perforated appearances.

Therefore, based on the typical presentation, the most probable diagnosis when observing the characteristics mentioned and marked in the image is indeed Tubercular Otitis Media.