""It's Coming Right For Us!" Badge (medium – 15 points)
Encounter all 19 enemies in Penguinz
19 enemies discovered – This can be done on any difficulty setting."- i'm palyed on easy and after i-don't-known level its just start from begining...NO 19th enemy discovered!
A 12-year-old girl presents with left ear pain and fever, worsening over the past 3 days. Today mother has noted a whitish creamy discharge from the ear canal. She was born at 38/40 gestation weighing 3.8kg and there were no neonatal problems. She is fully immunised. She trains regularly in a swimming team.
On examination she has a temperature of 38.2°C and has a red left tragus. This is exquisitely tender, and examination of the drum is impossible because of the pain and creamy thin discharge. She has shotty tender posterior cervical glands.
What is the most likely diagnosis?