18d • General discussion
đź©ş Random Clinical Tip of the Day
If an adult has persistent unilateral ear discharge that smells foul, especially with hearing loss, think cholesteatoma this is not “recurrent otitis externa”.
🔴 Avoid ototoxic drops if there’s any chance of a perforated tympanic membrane
🔴 Don’t keep cycling antibiotics
âś… Refer to ENT urgently as this is a destructive condition, not a benign one
Early suspicion = fewer complications (and fewer sleepless nights later)
P.s. Cilodex (is non ototoxic)
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đź©ş Random Clinical Tip of the Day
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