Diseases of The Middle Ear
Cart Wheel sign is seen in: (LQ)
Otoscopy Signs for ASOM:
• There is congestion of pars tensa
• Leash of blood vessels appear along the handle of malleus and at the periphery giving it a cartwheel like appearance.
• Transluscency isreduceD.
• Later tympanic membrane appears red and bulging with loss of landmarks.
• Tympanic membrane is immobile.n pneumatic ostoscopy