Hemotympanums secondary to spontaneous epistaxis in a 7-year-old. 
Hemotympanum is a well-known physical finding most often associated with basilar skull fractures and therapeutic nasal packing.  A literature review demonstrated only five cases of hemotympanum associated with spontaneous epistaxis in adults.  To our knowledge, there have been no reported cases in children.  We present a case of a 7-year-old child with bilateral hemotympanums secondary to spontaneous epistaxis.