The appearance of purulent discharge in this patient's external canal is the result of a perforation which developed in the tympanic membrane from untreated acute otitis media.
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![Acute Otitis Media [the stage of resolution]](https://medtube.net/images/min/aab04c976af4f88ea53b8d6e1458fa68/149/112/1 "Acute Otitis Media [the stage of resolution]")