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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 rash of ... 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... 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... Differential Diagnosis ... 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
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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 the middle ear, including... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... Otitis media, inflammation of the middle ear, may be suppurative or secretory, acute, persistent, unresponsive, or chronic. With prompt treatment, the prognosis for acute otitis media is excellent; however, prolonged accumulation of fluid... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... 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 the middle ear, including allergy,... 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 location of the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Inflammation of the middle ear, otitis media may be suppurative or secretory, acute or chronic. Acute otitis media is common in children; its incidence rises during the winter months, paralleling the seasonal rise in nonbacterial respiratory tract... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... 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... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... 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 the... 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... 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
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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... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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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... 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... Pictures
... READ EXCERPTS »
... Author:
Dorothy Chen, MD
What to Do - Interpret the Data
Concern for otitis infections is a common reason for pediatric outpatient
visits. Untreated ear infections can have serious consequences. Diagnosing
and... Suggested Readings
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... Author:
William Giasi, Jr., MD
What to Do - Make a Decision
Acute otitis externa (AOE) is the acute onset of inflammation of the external
auditory canal, which may involve the pinna and tympanic membrane. AOE
classically has a rapid onset,... Suggested Readings
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... William R. Graessle, MD
Otitis Media - BASICS
Otitis Media - description
Otitis media refers to inflammation of the middle ear. A distinction is usually made between otitis media with effusion (OME) and acute otitis media (AOM). AOM... Otitis Media - DIAGNOSIS ... Otitis Media - TREATMENT ... Otitis Media - FOLLOW UP ... Otitis Media - bibliography ... Otitis Media - CODES ... Otitis Media - FAQ
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Epidemiology and Etiology
Immaturity of the eustachian tubes, coupled with a viral upper respiratory
infection, can lead to stasis, congestion, and ultimately eustachian tube
obstruction. Persisting obstruction of the... Chronic Suppurative Otitis Media ... Sinusitis ... Selected Readings ... Pictures
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