Question

johnnys history is significant for tympanostomy tubes placed bilaterally when he was 2 years old. one tube left a persistent perforation in the tympanic membrane, so he had tympanoplasty at 3 years of age. he has not had any episodes of otitis media in the past 2 years. physical exam rr: 24; hr: 88; temp: 99.9; bp: 98/68. gen: well - developed 4y/o in no acute distress. heent: normocephalic. perrla. no conjunctival erythema; mild clear nasal discharge; right canal blocked with cerumen - after ceruminolytic placed and canal clear, the tympanic membrane was seen. it was erythematous and full. some mild tympanosclerosis of tm noted; the left ear was erythematous and full. mild mastoidalgia on the left, but the ear is not displaced forward. cv: rrr without murmur. resp: cta. assessment johnny has chronic otitis media failing three courses of oral antibiotics. plan i have performed tympanocentesis in the office and sent the fluid for culture. while awaiting the result, we will treat him with an im antibiotic. i will also send a fungal culture to rule outotomycosis. while johnny has mild mastoidalgia, he is afebrile today and in no distress, and his ear is not displaced. thus, i do not think he has acute mastoiditis, but i told johnnys parents what to look for. given how long johnny has had this infection, he will need to see audiology for audiometry when he is better. - johanna long, md the patient visited his physician for otalgia, or ear pain. another medical term for ear pain is o mastoidalgia. o myringodynia. o ophthalmalgia. o otodynia.

Explanation:

Mastoidalgia refers to pain in the mastoid process. Ophthalmalgia is eye - pain. Myringodynia and otodynia both relate to ear - pain, but otodynia is the more general medical term for ear pain.

Answer:

D. otodynia