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Acute Mastoiditis VS Furunculosis

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Acute Mastoiditis V/S Furunculosis

FeatureMastoiditisFurunculosis
Preceding historyOtitis mediaSelf-cleaning of ear
DischargeMucoid/ mucopurulentPurulent ± blood, never mucoid
Pinna positionOutwards & downwardsOutwards & laterally
Postauricular grooveObliteratedPreserved/accentuated
TendernessMastoid process & Simpa concaTragal tenderness
EAC findingsPosterior superior canal wall saggingRed, tender furuncle
Tympanic membraneInflamed/ perforated/ bulgingNormal
MastoidIroned-out appearanceNormal
Hearing lossConductiveNone or mild conductive
Fever/systemic signsPresentAbsent
Lymph nodesMay be enlarged & tenderAbsent
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