Misdiagnosis of Earache

Misdiagnosis and Earache

Sinusitis is overdiagnosed: There is a tendency to give a diagnosis of sinusitis, when the condition is really a harmless complication of another infection, such as a common cold.

Whooping cough often undiagnosed: Although most children in the Western world have been immunized against whooping cough (also called "pertussis"), this protection wears off after about 15 years. Thus, any teen or adult with a persistent cough may actually have whooping cough. This is particularly dangerous for babies too young to be vaccinated, and any un-vaccinated children. Whooping cough can be fatal to an infant. The cough symptoms of whooping cough is usually productive initially, but then becomes a persistent dry cough, lasting up to 100 days. Elderly grandparents may also be a reservoir of undiagnosed whooping cough.

Leg cramps at night a classic sign: The symptom of having leg muscle cramps, particularly at night, is a classic sign of undiagnosed diabetes. However, there are also various other causes. See causes of leg cramps or misdiagnosis of diabetes.

Vitamin B12 deficiency under-diagnosed: The condition of Vitamin B12 deficiency is a possible misdiagnosis of various conditions, such as multiple sclerosis (see symptoms of multiple sclerosis). See symptoms of Vitamin B12 deficiency or misdiagnosis of multiple sclerosis.

Ramsay Hunt syndrome- recovery depends on nerve damage: The Ramsay Hunt syndrome is herpes zoster affecting the geniculate ganglion. This syndrome develops when the varicella virus becomes reactivated from the geniculate ganglion. It is seen as a disease of older people but it can affect all ages including children. It usually presents with a paroxysmal attack of deep seated pain in the ear which slowly progresses to be diffuse in nature and continuous type with vesicles, vertigo, facial palsy causing a crooked smile and tinnitus. Making the diagnosis is very difficult when the presentation is simply pain in the ear. It is usually mistaken for Bell's palsy but the presence of vesicles helps in coming to a diagnosis. But in cases of children vesicles may not be present and this could alter the diagnosis. Presence of vertigo may change the diagnosis to acute labyrinthitis. The more severe the damage the longer it will take to recover. Early diagnosis is useful in starting an early treatment of steroids and antiviral agents for the syndrome.

Dizziness in children: Dizziness although not a common cause in children can have threatening causes and requires quick diagnosis as the possibility of tumours such as medulloblastoma is possible but the most commonest causes include seizure of the temporal lobe. other causes being migraine, vestibular neuronitis, psychosomatic vertigo, middle ear infections, trauma and benign paroxysmal vertigo. A detailed history regarding the onset, duration and presence of other related symptoms such as fever, earache and discharge must be recorded.

Painful ear conditions: A patient with a painful ear often requires urgent attention and most of these cases are expected to have acute otitis media. It can occur at any age but is most common in children where otitis media is the most common cause. Ear ache can be caused by disorders of the ear or may arise from other surrounding structures and in many instances the precise diagnosis is difficult to make. Some of the conditions of the external ear that can cause otalgia include otitis externa, perichondritis, furunculosis, trauma, wax impaction and viral infections. In the middle ear it is most commonly acute otitis media, acute mastoiditis and eustachian tube insufficiency. Pain from the surrounding areas can be referred such as dental idsorders, parotitis, cervical dyfunction and lymph node inflammation.

More about Misdiagnosis

• Causes of Earache
• Misdiagnosis Overview
• How Common is Misdiagnosis?
• Over-Diagnosed Diseases
• Under-Diagnosed Diseases
• Types of Misdiagnosis
• Wrong Type Misdiagnosis
• Why Does Misdiagnosis Occur?
• Difficult Diseases to Diagnose
• More premium medical articles ...

 » Next page: HEADACHE (Algorithmic Diagnosis of Symptoms and Signs)

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• EARACHE (Algorithmic Diagnosis of Symptoms and Signs)
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