Which symptom indicates a potential tympanic membrane rupture in a child with otitis media?

Sudden pain relief in a child with otitis media can indicate a potential tympanic membrane rupture because this event often leads to a decrease in pressure within the middle ear. When the tympanic membrane ruptures, the buildup of fluid and pressure is alleviated, which means that the child may suddenly feel relief from the intense ear pain that typically accompanies otitis media.

This symptom is particularly significant as it may suggest that the condition has progressed to a more severe state, where the membrane has lost its integrity. Understanding this relationship between pain relief and potential rupture is crucial for proper clinical assessment and intervention.

The other symptoms, such as green-blue discharge, increased temperature, and a popping sensation when swallowing, are not specifically indicative of a tympanic membrane rupture. Discharge can indicate an infection but does not directly correlate with membrane rupture. While fever may be present in otitis media, it does not serve as a specific indicator of a rupture. The popping sensation can occur due to Eustachian tube function and does not signify a rupture.