Differentiating otitis media from other diseases: Difference between revisions

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==Overview==
==Overview==
Otitis media must be differentiated from other diseases that cause [[ear pain]] or ear itchiness, [[hearing loss]], [[middle ear]] [[discharge]], tympanic effusion, and [[dizziness]]. This includes [[otitis externa]], myringitis, [[sinusitis]], and [[Meniere's disease]].


==Differentiating Otitis Media from Other Diseases==
==Differentiating Otitis Media from Other Diseases==
Otitis media must be differentiated from other diseases that cause [[ear pain]] or [[ear itchiness]], [[hearing loss]], [[middle ear]] [[discharge]],[[tympanic effusion]], [[dizziness]] including the following:<ref name="pmid24661591">{{cite journal |vauthors=Thomas JP, Berner R, Zahnert T, Dazert S |title=Acute otitis media--a structured approach |journal=Dtsch Arztebl Int |volume=111 |issue=9 |pages=151–9; quiz 160 |year=2014 |pmid=24661591 |pmc=3965963 |doi=10.3238/arztebl.2014.0151 |url=}}</ref>
Otitis media must be differentiated from other diseases that cause [[ear pain]] or [[ear itchiness]], [[hearing loss]], [[middle ear]] [[discharge]], tympanic [[effusion]], and [[dizziness]].:<ref name="pmid24661591">{{cite journal |vauthors=Thomas JP, Berner R, Zahnert T, Dazert S |title=Acute otitis media--a structured approach |journal=Dtsch Arztebl Int |volume=111 |issue=9 |pages=151–9; quiz 160 |year=2014 |pmid=24661591 |pmc=3965963 |doi=10.3238/arztebl.2014.0151 |url=}}</ref>
*[[Myringitis]]<ref name="urlInfectious myringitis: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/001369.htm |title=Infectious myringitis: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
*[[Otitis externa]]<ref name="pmid1472406">{{cite journal |vauthors=Hall D |title=Differential diagnosis of otitis media and externa |journal=Br J Gen Pract |volume=42 |issue=364 |pages=494 |year=1992 |pmid=1472406 |pmc=1372285 |doi= |url=}}</ref>
*[[Sinusitis]]<ref name="urlSinusitis: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/sinusitis.html |title=Sinusitis: MedlinePlus |format= |work= |accessdate=}}</ref>
*[[Meniere's disease]]<ref name="urlMenieres Disease: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/menieresdisease.html |title=Meniere's Disease: MedlinePlus |format= |work= |accessdate=}}</ref>


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| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[ear pain]] or ear [[itching]], [[hearing loss]], and [[suppurative]] discharge from the ear. Differentiated from otitis media in that the ear pain is felt deep inside the ear and usually worsens with movement. Can also present with [[fever]], [[difficulty swallowing]], and [[weakness]] in the face. Treatment requires [[antibiotics]] and possible surgery to remove the dead skin. <ref name="pmid1472406">{{cite journal |vauthors=Hall D |title=Differential diagnosis of otitis media and externa |journal=Br J Gen Pract |volume=42 |issue=364 |pages=494 |year=1992 |pmid=1472406 |pmc=1372285 |doi= |url=}}</ref>
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[ear pain]] or ear [[itching]], [[hearing loss]], and [[suppurative]] discharge from the ear. Differentiated from otitis media in that the ear pain is felt deep inside the ear and usually worsens with movement. Can also present with [[fever]], [[difficulty swallowing]], and [[weakness]] in the face. Treatment requires [[antibiotics]] and possible surgery to remove the dead skin. <ref name="pmid1472406">{{cite journal |vauthors=Hall D |title=Differential diagnosis of otitis media and externa |journal=Br J Gen Pract |volume=42 |issue=364 |pages=494 |year=1992 |pmid=1472406 |pmc=1372285 |doi= |url=}}</ref>
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Myringitis]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Myringitis'''
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[blisters]] on the [[tympanum]], leading to [[ear pain]] and potential [[hearing loss]]. Differentiates from otitis media in that [[common cold]] symptoms or [[fever]] are not usually present. Treatment requires [[antibiotics]].
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[blisters]] on the [[Tympanic membrane|tympanum]], leading to [[ear pain]] and potential [[hearing loss]]. Differentiates from otitis media in that [[common cold]] symptoms or [[fever]] are not usually present. Treatment requires [[antibiotics]].<ref name="urlInfectious myringitis: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/001369.htm |title=Infectious myringitis: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
 
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Sinusitis]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Sinusitis]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[fever]], [[weakness]], [[cough]], [[nasal congestion]], [[dizziness]], and [[post-nasal drip]]. Nasal congestion can result in feelings of "fullness" in the [[middle ear]] that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge or [[tympanic]] effusion.
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with [[fever]], [[weakness]], [[cough]], [[nasal congestion]], [[dizziness]], and [[post-nasal drip]]. Nasal congestion can result in feelings of "fullness" in the [[middle ear]] that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge or tympanic effusion.<ref name="urlSinusitis: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/sinusitis.html |title=Sinusitis: MedlinePlus |format= |work= |accessdate=}}</ref>
 
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Meniere's Disease]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Meniere's Disease]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with severe [[dizziness]], [[tinnitus]], [[hearing loss]], and feelings of "fullness" in the inner ear<ref name="urlMénières Disease | NIDCD">{{cite web |url=https://www.nidcd.nih.gov/health/menieres-disease |title=Ménière's Disease &#124; NIDCD |format= |work= |accessdate=}}</ref>|}. Usually affects individuals between aged 40 and 60 years old. Caused by buildup of fluid in the [[inner ear]]. Differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge, as well as no [[common cold]] symptoms.
| style="padding: 5px 5px; background: #F5F5F5;" |Presents with severe [[dizziness]], [[tinnitus]], [[hearing loss]], and feelings of "fullness" in the inner ear<ref name="urlMénières Disease | NIDCD">{{cite web |url=https://www.nidcd.nih.gov/health/menieres-disease |title=Ménière's Disease &#124; NIDCD |format= |work= |accessdate=}}</ref>. Usually affects individuals between aged 40 and 60 years old. Caused by buildup of fluid in the [[inner ear]]. Differentiates from otitis media in that there is usually no [[ear pain]] or [[suppurative]] discharge, as well as no [[common cold]] symptoms.<ref name="urlMenieres Disease: MedlinePlus">{{cite web |url=https://www.nlm.nih.gov/medlineplus/menieresdisease.html |title=Meniere's Disease: MedlinePlus |format= |work= |accessdate=}}</ref>
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
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[[Category:Primary care]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
[[Category:Otology]]
[[Category:Otology]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
{{WH}}
{{WS}}

Latest revision as of 21:23, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Otitis media must be differentiated from other diseases that cause ear pain or ear itchiness, hearing loss, middle ear discharge, tympanic effusion, and dizziness. This includes otitis externa, myringitis, sinusitis, and Meniere's disease.

Differentiating Otitis Media from Other Diseases

Otitis media must be differentiated from other diseases that cause ear pain or ear itchiness, hearing loss, middle ear discharge, tympanic effusion, and dizziness.:[1]

Disease Findings
Otitis externa Presents with ear pain or ear itching, hearing loss, and suppurative discharge from the ear. Differentiated from otitis media in that the ear pain is felt deep inside the ear and usually worsens with movement. Can also present with fever, difficulty swallowing, and weakness in the face. Treatment requires antibiotics and possible surgery to remove the dead skin. [2]
Myringitis Presents with blisters on the tympanum, leading to ear pain and potential hearing loss. Differentiates from otitis media in that common cold symptoms or fever are not usually present. Treatment requires antibiotics.[3]
Sinusitis Presents with fever, weakness, cough, nasal congestion, dizziness, and post-nasal drip. Nasal congestion can result in feelings of "fullness" in the middle ear that can manifest similarly to otitis media. Sinusitis differentiates from otitis media in that there is usually no ear pain or suppurative discharge or tympanic effusion.[4]
Meniere's Disease Presents with severe dizziness, tinnitus, hearing loss, and feelings of "fullness" in the inner ear[5]. Usually affects individuals between aged 40 and 60 years old. Caused by buildup of fluid in the inner ear. Differentiates from otitis media in that there is usually no ear pain or suppurative discharge, as well as no common cold symptoms.[6]

References

  1. ↑ Thomas JP, Berner R, Zahnert T, Dazert S (2014). "Acute otitis media--a structured approach". Dtsch Arztebl Int. 111 (9): 151–9, quiz 160. doi:10.3238/arztebl.2014.0151. PMC 3965963. PMID 24661591.
  2. ↑ Hall D (1992). "Differential diagnosis of otitis media and externa". Br J Gen Pract. 42 (364): 494. PMC 1372285. PMID 1472406.
  3. ↑ "Infectious myringitis: MedlinePlus Medical Encyclopedia".
  4. ↑ "Sinusitis: MedlinePlus".
  5. ↑ "Ménière's Disease | NIDCD".
  6. ↑ "Meniere's Disease: MedlinePlus".

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