The advanced practice registered nurse (APRN) is documenting their physical exam findings for a patient with acute outs media. Which of the following statements most accurately describes otoscope findings of acute otitis media?

Bilateral tympanic membranes erythematous, flat, with good cone of light.

Left tympanic membrane erythematous, bulging and non-mobile, with loss of landmarks

Bilateral tympanic membranes intact and mobile, with good cone of light.

Right tympanic membrane erythematous and flat, with blood tinged discharge.