![]() The doctor explains to mum that Sarah most likely has a fungal infection of her outer ear and will require a trial of anti-fungal ear drop for 2 weeks. The rest of her ENT exam is normal, and she is neurologically intact. There is lateralisation of the tuning fork sound to the RIGHT ear on Weber’s: Sarah has reduced hearing in her right ear due to conductive hearing loss likely secondary to fungal otitis externa. bone conduction is greater than air conduction in the right ear. Rinne’s test demonstrated unilateral right sided negative result i.e. Using a 512 Hz tuning fork, he performs Weber and Rinne’s tests. ![]() Her left ear is impacted with cerumen but otherwise looks normal. He begins with otoscopy and notes that there is unilateral, right sided narrowing of the external auditory canal secondary to oedema and notices that the overlying skin is milk coloured, resembling candida infection. The doctor proceeds to perform a focused ENT exam. Her right ear appears to be the troubling ear and she is experiencing mild pain on that side. Sarah presents to the Emergency Department and mum narrates the story to the attending doctor.
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