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Rahul Kumar · 23/3/2025
Sections
Malleus ENT — Indiranagar
12 Some Street, Bengaluru · +91 98000 00000
Case sheet
23/3/2025
Patient
Rahul Kumar
MRN
MAL01007
Age / Sex
48 / M
Chief complaints
Hearing loss, right ear, 3 weeks. Mild tinnitus.
Clinical findings
Ear R: TM dull, retracted. Ear L: Normal. Nose: DNS to right. Throat: Normal.
Provisional diagnosis
Right serous otitis media. DNS.
Prescription
| Drug | Dose | Duration |
|---|---|---|
| Amoxicillin 500mg | 1-0-1 | 5 days |
| Mometasone Nasal Spray | 2 puffs each nostril | 10 days |
Advice
Avoid water entry into ear. Steam inhalation twice daily. Review after 5 days.