Differentiating mastoiditis from other diseases: Difference between revisions
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[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Mastoiditis]] | |||
{{CMG}}; {{AE}}{{MJ}} | {{CMG}}; {{AE}}{{MJ}} | ||
==Overview== | ==Overview== | ||
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as [[lymphadenopathy]], periauricular [[cellulitis]], [[auricle]] perichondritis, [[mumps]] and [[mastoid]] [[tumors]]. These diseases may be distinguished from mastoiditis via clinical | Mastoiditis must be differentiated from other diseases that cause postauricular [[inflammation]] or [[swelling]] such as [[lymphadenopathy]], periauricular [[cellulitis]], [[auricle]] perichondritis, [[mumps]], and [[mastoid]] [[tumors]]. These diseases may be distinguished from mastoiditis via clinical findings and laboratory testing. | ||
==Differentiating Mastoiditis from other Diseases== | ==Differentiating Mastoiditis from other Diseases== | ||
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.<ref name="pmid10821471">{{cite journal |vauthors=Bluestone CD |title=Clinical course, complications and sequelae of acute otitis media |journal=Pediatr. Infect. Dis. J. |volume=19 |issue=5 Suppl |pages=S37–46 |year=2000 |pmid=10821471 |doi= |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid25587371">{{cite journal |vauthors=Minovi A, Dazert S |title=Diseases of the middle ear in childhood |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc11 |year=2014 |pmid=25587371 |pmc=4273172 |doi=10.3205/cto000114 |url=}}</ref> | Mastoiditis must be differentiated from other diseases that cause postauricular [[inflammation]] or [[swelling]].<ref name="pmid10821471">{{cite journal |vauthors=Bluestone CD |title=Clinical course, complications and sequelae of acute otitis media |journal=Pediatr. Infect. Dis. J. |volume=19 |issue=5 Suppl |pages=S37–46 |year=2000 |pmid=10821471 |doi= |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid25587371">{{cite journal |vauthors=Minovi A, Dazert S |title=Diseases of the middle ear in childhood |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc11 |year=2014 |pmid=25587371 |pmc=4273172 |doi=10.3205/cto000114 |url=}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
! rowspan="2" |Disease | ! rowspan="2" |Disease | ||
! colspan="2" |Clinical findings | ! colspan="2" |Clinical findings | ||
! rowspan="2" | | ! rowspan="2" |Laboratory findings | ||
|- | |- | ||
!History and symptoms | !History and symptoms | ||
| Line 20: | Line 20: | ||
|Mastoiditis | |Mastoiditis | ||
| | | | ||
*History of otitis media | *History of [[otitis media]] | ||
*Posterior [[Otalgia|ear pain]] | *Posterior [[Otalgia|ear pain]] | ||
| | | | ||
*Local erythema and tenderness and edema on the mastoid bone | *Local [[erythema]] and [[tenderness]] and [[edema]] on the [[mastoid bone]] | ||
*Outward and upward displaced auricle | *Outward and upward displaced [[auricle]] | ||
*Abnormal tympanic membrane | *Abnormal [[tympanic membrane]] | ||
| | | | ||
*Leukocytosis | *[[Leukocytosis]] | ||
*High | *High [[erythrocyte sedimentation rate]] may be present | ||
|- | |- | ||
|Enlarged | |Enlarged [[lymph node]] | ||
| | | | ||
*Well defined and mobile mass | *Well defined and mobile mass | ||
*No | *No [[inflammatory]] signs | ||
| | | | ||
*Leukocytosis may be | * No effect on [[auricle]] and [[tympanic membrane]] | ||
*High | | | ||
*[[Leukocytosis]] may be present | |||
*High [[erythrocyte sedimentation rate]] may be presented or may be normal | |||
|- | |- | ||
|Periauricular cellulitis | |Periauricular [[cellulitis]] | ||
| | |||
* History of a minor [[bite]] or minor [[trauma]] commonly exists | |||
* [[Pain]] and [[redness]] in the site | |||
| | | | ||
* | * [[Tympanic membrane]] is normal. | ||
| | | | ||
*Leukocytosis may be | *[[Leukocytosis]] may be present | ||
*High | *High [[erythrocyte sedimentation rate]] may be present | ||
|- | |- | ||
|Perichondritis of the auricle | |Perichondritis of the [[auricle]] | ||
|Swelling and erythema of the pinna | | | ||
* [[Swelling]] and [[erythema]] of the [[pinna]] | |||
| | | | ||
*The postauricular crease is preserved | *The postauricular crease is preserved | ||
*The tympanic membrane appears normal. | *The [[tympanic membrane]] appears normal. | ||
| | | | ||
*Leukocytosis may be | *[[Leukocytosis]] may be present | ||
*High | |||
* High [[erythrocyte sedimentation rate]] may be present | |||
|- | |- | ||
|Mumps | |[[Mumps]] | ||
| | |||
*[[Parotid glands]] [[swelling]] | |||
*[[Inflammation]] and [[pain]] present | |||
| | |||
* [[Tympanic membrane]] is normal | |||
| | | | ||
* | * Mild [[leukocytosis]] may be present | ||
|- | |- | ||
|Mastoid tumors | |Mastoid [[tumors]] | ||
| | | | ||
*Painless mass | *Painless mass | ||
*No inflammation | *No [[inflammation]] | ||
|Tympanic membrane is normal | | | ||
* [[Tympanic membrane]] is normal | |||
| | | | ||
*Normal white blood cell count | *Normal [[white blood cell]] count | ||
* | *Normal [[erythrocyte sedimentation rate]] | ||
|} | |} | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Otolaryngology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 21:23, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as lymphadenopathy, periauricular cellulitis, auricle perichondritis, mumps, and mastoid tumors. These diseases may be distinguished from mastoiditis via clinical findings and laboratory testing.
Differentiating Mastoiditis from other Diseases
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.[1][2][3]
| Disease | Clinical findings | Laboratory findings | |
|---|---|---|---|
| History and symptoms | Physical examinations | ||
| Mastoiditis |
|
|
|
| Enlarged lymph node |
|
|
|
| Periauricular cellulitis |
|
| |
| Perichondritis of the auricle |
|
| |
| Mumps |
|
|
|
| Mastoid tumors |
|
|
|
References
- ↑ Bluestone CD (2000). "Clinical course, complications and sequelae of acute otitis media". Pediatr. Infect. Dis. J. 19 (5 Suppl): S37–46. PMID 10821471.
- ↑ van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG (2008). "A systematic review of diagnostic criteria for acute mastoiditis in children". Otol. Neurotol. 29 (6): 751–7. doi:10.1097/MAO.0b013e31817f736b. PMID 18617870.
- ↑ Minovi A, Dazert S (2014). "Diseases of the middle ear in childhood". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc11. doi:10.3205/cto000114. PMC 4273172. PMID 25587371.