Otitis Media Exam

[textarea columns=80 rows=25 default="VITALS: Reviewed and normal/***
GENERAL: Alert, well nourished and well hydrated, in no distress.
HEENT: Conjunctiva normal
- Ears: Auditory canals normal/TM normal on R side/TM normal on L side/R TM bulging and erythematous/L TM bulging and erythematous/both TM's bulging and erythematous/immobile on insufflation/perforation present with purulent debris in external canal/perforation present without purulent debris in external canal
- Nares clear rhinorrhea bilaterally
- Oral exam without lesions/posterior pharynx non-erythematous/Tonsils with hypertrophy/exudate/erythema
NECK: Supple/Shotty adenopathy anteriorly/Anterior cervical adenopathy/Posterior cervical adenopathy
LUNGS: Clear to auscultation without wheezes, rales, or rhonchi. Good excursions. No dullness on percussion.
HEART: RRR with normal S1, S2 without murmur, gallop, or rub.
ABD: Soft, non-tender, without hepatosplenomegaly
SKIN: No rash present"]