Objective Vertigo {Ans: feels like the room is spinning}AOM with Effusion {Ans: fluid in middle ear creates an optimal environment for pathogen growth associated with upper respiratory infections}AOM CM {Ans: acute onset, middle ear effusion, inflammation, children with recurrent; >3 episodes in 6 months or > 4 over one year}Mastoiditis {Ans: inflammation that includes infection of the mastoid bone caused by ear infection cm: fever, headache, swelling and redness behind the ear}OME CM {Ans: middle ear effusion}Ménière disease {Ans: disorder of the inner ear resulting from an excessive buildup of endolymphatic fluid, causing episodes of vertigo, tinnitus, nausea, vomiting, and hearing loss; one or both ears can be affected, and attacks vary in both frequency and intensity}