& FELLOW Clinical Reasoning: A 50-year-old woman with deep ...

SECTION 1 50-year-old woman presented with deep ear pain onthe right that started 3 days prior. She described thepain as aching with superimposed severe stabbing. Thispain was associated with hyperacusis, but she otherwisedenied any hearing loss, muffled hearing, tinnitus,diplopia, dysphagia, facial weakness, numbness, or rash. ................
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