A patient who is Native American comes to you complaining of left ear pain.He gives a history of frequent upper respiratory infections,smoking,and working construction in the cold weather.You suspect that he has

Question

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Risk factors for otitis media include a child less than 2 years of age; frequent upper respiratory tract infections; cold weather; male gender; Caucasian,Native American,or Alaskan; family history (parents,siblings); pacifier use after 6 months of age; smoky environment; day care attendance; bottle-fed; Down syndrome; and craniofacial disorders.Air bubbles behind the tympanic membrane is a symptom of otitis media with effusion or serous otitis media.Spores in the external ear canal appear black,brown,yellow,or orange,and are caused by prolonged use of aural antibiotics.

A Patient Who Is Native American Comes to You Complaining