Young woman with type 1 diabetes who has recent recreational water exposure who presents with a severe form of otitis externa (fever, ill-appearing), most consistent with necrotizing otitis externa
Key idea:ย Necrotizing otitis externa often seen in patients with diabetes mellitus and should be treated withย intravenous antipseudomonal antibioticsย and surgical debridement if antibiotics are unsuccessful
Key idea: In an NBME stem, if it says that there is purulent fluid in the ear canal and that the tympanic membrane cannot be visualized, that tells you that the insult is in the ear canal
submitted by โstep_prep2(66)
https://step-prep.org/tutoring/