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George, aged 12, has been brought to see you by his mother Clarice. She informs you that George has been complaining about right sided ear pain over the last two days. She has tried to have a look inside but is unable to see any problems. George is otherwise well in himself, he has not noticed any discharge, coryzal symptoms or temperatures and his hearing is intact. George was diagnosed antenatally with cleft palate that has successfully been surgically corrected and is otherwise fit and well. He enjoys school, has lots of friends and Clarice has no concerns about him at home. On examination, his right ear has impacted wax and his left ear canal is clear of wax.

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