Otoscopic Signs of Acute Otitis Media | NEJM

1. Air-fluid level 2. Full, bulging tympanic membrane 3. Bulla formation;  Otoscopic Signs at the End of Treatment: Complete Resolution 4. Complete resolution of otoscopic signs of acute otitis media; middle-ear fluid; Otoscopic Signs at the End of Treatment: Improvement 5. Partial resolution of otoscopic signs of acute otitis media; middle-ear fluid with air--fluid level remains 6. No improvement in otoscopic signs of acute otitis media; Otoscopic Signs at the End of Treatment: Failure 7. No improvement in otoscopic signs of acute otitis media  8. Perforation of tympanic membrane.

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