The document discusses infectious diseases of the ears, including otitis media (middle ear infection) and otitis externa (outer ear infection). It outlines the three pathways for pathogens to enter the ear and describes the typical symptoms, causes, and diagnosis of each condition. Otitis media is often caused by bacteria like Streptococcus pneumoniae and Haemophilus influenzae entering through the eustachian tube. Otitis externa, commonly known as swimmer's ear, is usually caused by bacteria like Pseudomonas aeruginosa when contaminated water enters the outer ear canal. Culture and susceptibility testing are used to diagnose both conditions.