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Appearance of the tympanic membrane in three children with acute otitis media

Appearance of the tympanic membrane in three children with acute otitis media
(A) Early acute otitis media with inflammation; subsequently progressed to effusion.
(B) Purulent effusion with air-fluid level.
(C) Bulging purulent effusion filling the middle ear.
Courtesy of Glenn C Isaacson, MD, FAAP.
Graphic 97608 Version 4.0