EconomyEnglish7.3/10 · BronzeCSV file availableUpdated 19 Oct 2026

Otorrhoea - Question and Answer Dataset

Name: Otorrhoea - Question and Answer Dataset
Creator: icmr.gov.in
Keywords: Economy, question-answering, extractive-qa, standard-treatment-workflow-stw, icd-10-h92-10, otitis-media, amoxicillin, ciprofloxacin, tympanoplasty, mastoidectomy, pus-culture-sensitivity, pure-tone-audiometry

#question-answering#extractive-qa#standard-treatment-workflow-stw#icd-10-h92-10#otitis-media#amoxicillin#ciprofloxacin#tympanoplasty#mastoidectomy#pus-culture-sensitivity#pure-tone-audiometry

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About this dataset

14 extractive question-and-answer pairs built from 1725952350 ent otorrhoea, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow (stw), icd-10-h92.10, otitis media, amoxicillin, ciprofloxacin, tympanoplasty, mastoidectomy, pus culture sensitivity. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 7 factual, 2 definition, 2 list, 2 relationship, 1 comparison. 7 of the 14 pairs (50.0%) ask explanatory questions; the remaining 7 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.

The story in this dataset

Otorrhoea Question-Answer Dataset from ICMR

This dataset contains 14 extractive question-and-answer pairs focused on otorrhoea, sourced from a single-page publication by icmr.gov.in. The dataset addresses various conditions and treatments related to ear discharge, including acute otitis externa, chronic suppurative otitis media (CSOM), and otomycosis. Questions span factual, definition, list, relationship, and comparison types, with answers directly quoted from the source material. The dataset provides detailed management protocols for conditions like active and inactive CSOM, traumatic perforation, and suspected complications.

Acute otitis externa: Indicated by serous or purulent discharge with tenderness of the external ear.

Preview

First 10 of 14 rows

Sample rows from Otorrhoea - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What type of infection is indicated by serous or purulent discharge with significant tenderness of the external ear?	Acute otitis externa denoting Staph/ Pseudomonas infection	• Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC)	130	relationship	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC)	1	page=1,block=23	0.700	valid
What condition is associated with a URI, severe ear pain, and mucopurulent blood-stained otorrhoea?	Resolving AOM	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	155	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What condition is indicated by mucopurulent discharge lasting more than 12 weeks?	CSOM	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	215	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What should be suspected in cases of recurrent painless profuse mucopurulent discharge with pale granulations or multiple perforations unresponsive to antibiotics?	Tubercular otitis media	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	568	relationship	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What distinguishes active CSOM from inactive CSOM?	Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	222	comparison	0.880	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What are the two types of safe perforations mentioned?	central perforation [Fig 4A] and total perforation [Fig 4B]	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	317	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What are the two types of unsafe conditions described in relation to otorrhoea?	cholesteatoma [Fig 5A] and granulation [Fig 5B]	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	393	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What is the recommended management for inactive CSOM?	Referral to DH for surgery.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	582	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	1	page=1,block=10	0.700	valid
What is the recommended treatment for acute otitis externa with moderate to severe edema?	Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	132	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination.
What is the treatment for eczematous otitis externa?	Ciprofloxacin ear drops with steroid combination.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	315	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days.	1	page=1,block=10	0.700

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Preview

First 10 of 14 rows

Sample rows from Otorrhoea - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What type of infection is indicated by serous or purulent discharge with significant tenderness of the external ear?	Acute otitis externa denoting Staph/ Pseudomonas infection	• Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC)	130	relationship	0.970	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC)	1	page=1,block=23	0.700	valid
What condition is associated with a URI, severe ear pain, and mucopurulent blood-stained otorrhoea?	Resolving AOM	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	155	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What condition is indicated by mucopurulent discharge lasting more than 12 weeks?	CSOM	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	215	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What should be suspected in cases of recurrent painless profuse mucopurulent discharge with pale granulations or multiple perforations unresponsive to antibiotics?	Tubercular otitis media	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	568	relationship	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What distinguishes active CSOM from inactive CSOM?	Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	222	comparison	0.880	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What are the two types of safe perforations mentioned?	central perforation [Fig 4A] and total perforation [Fig 4B]	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	317	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What are the two types of unsafe conditions described in relation to otorrhoea?	cholesteatoma [Fig 5A] and granulation [Fig 5B]	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should be suspected and needs biopsy confirmation • Bloody otorrhoea following Trauma: Traumatic perforation • Acute onset bloody discharge with neural deficits/ neck nodes: Neoplasia • Watery otorrhoea (may be associated with trauma) : CSF Otorrhoea	393	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• URI with severe ear pain (manifested in children as inconsolable crying and ear tugging), relieved with episode of mucopurulent blood stained otorrhoea: Resolving AOM [Fig 3] • Mucopurulent discharge > 12 weeks : CSOM • Active : otorrohoea in last 12 weeks • Inactive : no otorrohoea in last 12 weeks • Safe type : central perforation [Fig 4A] and total perforation [Fig 4B] • Unsafe type : cholesteatoma [Fig 5A] and granulation [Fig 5B] • Recurrent painless profuse mucopurulent discharge with pale granulations/ multiple perforations unresponsive to antibiotics: Tubercular otitis media should
What is the recommended management for inactive CSOM?	Referral to DH for surgery.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	582	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	1	page=1,block=10	0.700	valid
What is the recommended treatment for acute otitis externa with moderate to severe edema?	Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	132	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination.
What is the treatment for eczematous otitis externa?	Ciprofloxacin ear drops with steroid combination.	• Acute otitis externa: Oral Ciprofloxacin/ Amoxycillin clavulanic acid combination for 7-10 days (2 weeks maximum) and analgesics. Ichthammol gycerine (1:9) packing of EAC in moderate to severe edema. Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days. With no response in 3 days start Amoxycillin clavulanic acid combination for 10 days. Refer to DH if no resolution • Inactive CSOM: Referral to DH for surgery. • Active CSOM: Ciprofloxacin ear drops with dry mopping & referral to DH for surgery.	315	factual	0.570	https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952350_ent_otorrhoea.pdf	Refer pus pointing furuncle to DH • Otomycosis: Cleaning and Clotrimazole ear drops • Eczematous otitis externa: Ciprofloxacin ear drops with steroid combination. • AOM / Resolving AOM: Oral amoxicillin / Erythromycin / Clarithromycin for 10 days.	1	page=1,block=10	0.700

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Otorrhoea - Question and Answer Dataset

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Otorrhoea Question-Answer Dataset from ICMR

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