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Are there abnormalities on the ear examination? The ear examination may reveal severe otitis externa, an epithelioma of the pinna, a foreign body, or impacted wax. It may also show inflammation and bulging of the eardrum. A vesicular ... DIAGNOSTIC WORKUP
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Otorrhea, or ear discharge, usually results from an inflammatory process in the ear canal, middle ear, or mastoid. A thorough cleaning of the ear canal (with suction if possible) is essential to determine the source of the otorrhea. Ear lavage should be avoided in the presence of otorrhea,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Ear pain is an extremely common presenting complaint in both primary care and otolaryngology practices. The description of the onset, character, and location of pain, along with a careful physical examination, identify most common causes of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Not all ear pain is otologic; the ears have rich sensory innervation from multiple nerves, and secondary pain is common. Most otologic ear pain has some associated physical findings; if none is present, a complete head and neck examination, including imaging, may be... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Otorrhea often arises from the external ear; in the setting of a nonintact tympanic membrane, the middle and even inner ears may be sources as well. Suctioning the otorrhea out of the canal to visualize the tympanic membrane is both therapeutic and diagnostically valuable.
... Workup and Diagnosis ... Treatment
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... The analysis of earache is much like that of dysuria: It is anatomic and inflammation accounts for the vast majority of causes. Thus, otitis externa would be like urethritis and otitis media like cystitis, and so forth.
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... The differential diagnosis of a nonbloody discharge of the ear can best be done by using anatomy. Visualize the components of the ear apparatus. A discharge may arise from the external canal, the middle ear, the mastoids and petrous bone, the inner ear,
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... Otorrhea — drainage from the ear — may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect the external ear canal or the middle ear, including... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Otorrhea—drainage from the ear—may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect the external ear canal or... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to determine the precise... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Differential Overview
Ear Pain
❑ Acute otitis media
❑ Acute otitis externa
❑ Eustachian dysfunction
❑... Diagnostic Approach ... Clinical Findings
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... Otorrhea — drainage from the ear — may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect the external ear canal... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Also known as otalgia, earaches usually result from disorders of the external and middle ear that are associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain.... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Can be causedby external or middle ear pathology or by referred pain from another source. According to Potsic (1997), 85% ofchildren with ear pain have infection; 7%, referred pain; 5%,middle ear effusion; and 3%, miscellaneous causes. ... Principal Causes of Earache ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Otorrhea—drainage from the ear—may be bloody (otorrhagia), purulent, clear, or serosanguineous. Its onset, duration, and severity provide clues to the underlying cause. This sign may result from disorders that affect the external ear canal or the middle ear, including... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to determine... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
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The differential diagnosis of a nonbloody discharge of the ear can best
be done by using anatomy. Visualize the components of the ear
apparatus. A discharge may arise from the external canal, the middle ear,
the mastoids and... Pictures
... READ EXCERPTS »
...
The analysis of earache is much like that of dysuria: It is anatomic, and
inflammation accounts for the vast majority of causes.
Thus, otitis externa would be like urethritis and otitis media like
cystitis, and so forth.
Like... Pictures
... READ EXCERPTS »
... Laura N. Sinai, MD, MSCE Earache - BASICS Earache - description Primary otalgia refers to pain originating from the ear structures. Secondary otalgia is the sensation of ear pain as a result of ... Earache - DIAGNOSIS ... Earache - TREATMENT ... Earache - FOLLOW UP ... Earache - bibliography ... Earache - CODES ... Earache - FAQ
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