Woman with past medical history of seasonal allergies

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Reference no: EM133749021

Question

A 20-year-old woman with a past medical history of seasonal allergies, for which she takes oral fexofenadine, presents to the clinic for evaluation of an ear disorder. She reports that she recently started a new job that requires her to fly often to various locations. During take-off and landing, she experiences moderate pressure and pain in her ears and is left with symptoms of dulled hearing and sometimes tinnitus for days afterward. She has tried chewing gum and forcefully aerating her ears, with no amelioration. Obstructive dysfunction of the Eustachian tube is suspected. Which physical examination finding would support the diagnosis? Shiny, translucent tympanic membrane with normal mobility Amplified autophony Erythema of the tympanic membrane with engorged vessels Tympanic membrane retracted medially with prominent bony landmarks.

Reference no: EM133749021

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