text: The most indicative signs of<unk><unk>  are revealed through otoscopic<unk>  of the middle ear and include erythema, bulging, cloud appearance, and immobility of the tympanic membrane. The presence of effusion is also indicative of<unk><unk> . Partial hearing loss from fluid buildup is indicative of<unk><unk> , revealed by tympanometry. Acute<unk><unk>  patients are usually ill-appearing and usually present with low-grade fever.<unk><unk>  with effusion patients are usually well-appearing since the condition is not usually associated with common cold symptoms.
option_0: Otitis media physical examination
option_1: Rhinitis physical examination
option_2: Otitis externa physical examination
option_3: Pharyngitis physical examination
option_4: Laryngitis physical examination
option_5: Stomatitis physical examination
option_6: Boerhaave syndrome physical examination
option_7: Dacryoadenitis physical examination