Otitis externa history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Otitis externa}} | {{Otitis externa}} | ||
{{CMG}} {{AE}} {{LRO}} | {{CMG}}; {{AE}} {{LRO}}; {{TarekNafee}} | ||
==Overview== | ==Overview== | ||
Symptoms for all forms of otitis externa | Symptoms for all forms of otitis externa include [[otalgia|pain]], [[itching]], and [[swelling]] of the [[ear canal]]. Symptoms of chronic, recurrent otitis externa include lack of [[earwax]] and buildup of dead skin causing [[stenosis|narrowing of the ear canal]]. Symptoms of malignant necrotizing otitis externa include severe [[ear pain]], facial [[paralysis]], [[Difficulty opening mouth|difficulty opening mouth]], and [[difficulty swallowing]]. History of [[allergies]], aquatic-based occupations, or exposure to sources of [[immunocompromise]] such as [[chemotherapy]] and [[diabetes mellitus]] should be considered in otitis externa patients. | ||
==History== | ==History== | ||
*History of [[allergies]] | A carefully collected history from a patient with otitis externa may include: | ||
*History of an occupation involving swimming, scuba-diving, or surfing | *History of [[allergies]] manifesting as [dermatitis]]<ref name="RosenfeldBrown2006">{{cite journal|last1=Rosenfeld|first1=R|last2=Brown|first2=L|last3=Cannon|first3=C|last4=Dolor|first4=R|last5=Ganiats|first5=T|last6=Hannley|first6=M|last7=Kokemueller|first7=P|last8=Marcy|first8=S|last9=Roland|first9=P|last10=Shiffman|first10=R|title=Clinical practice guideline: Acute otitis externa|journal=Otolaryngology - Head and Neck Surgery|volume=134|issue=4|year=2006|pages=S4–S23|issn=01945998|doi=10.1016/j.otohns.2006.02.014}}</ref> | ||
* | *History of an occupation involving swimming, scuba-diving, or surfing | ||
**[[ | *History of [[immunosuppression]] in cases of malignant otitis externa: | ||
**[[ | **Recent [[chemotherapy]] | ||
**History of [[diabetes mellitus]] | |||
==Symptoms== | ==Symptoms== | ||
Symptoms of acute otitis externa include | Symptoms of acute otitis externa include:<ref name="urlOtitis externa - Symptoms - NHS Choices">{{cite web |url=http://www.nhs.uk/conditions/Otitis-externa/pages/symptoms.aspx |title=Otitis externa - Symptoms - NHS Choices |format= |work= |accessdate=}}</ref> | ||
*[[Ear pain]] | *[[Ear pain]] | ||
*[[Itching]] of the [[ear canal]] | *[[Itching]] of the [[ear canal]] | ||
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*Swollen [[lymph nodes]] | *Swollen [[lymph nodes]] | ||
*[[Scaling skin|Scaley skin]] in the ear canal | *[[Scaling skin|Scaley skin]] in the ear canal | ||
Symptoms of chronic, recurrent otitis externa include | Symptoms of chronic, recurrent otitis externa include:<ref name="pmid24491310">{{cite journal |vauthors=Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ |title=Clinical practice guideline: acute otitis externa |journal=Otolaryngol Head Neck Surg |volume=150 |issue=1 Suppl |pages=S1–S24 |year=2014 |pmid=24491310 |doi=10.1177/0194599813517083 |url=}}</ref> | ||
*Persistent [[itching]] of the ear | *Persistent [[itching]] of the ear | ||
*Lack of [[earwax]] | *Lack of [[earwax]] | ||
*Buildup of dead skin causing [[stenosis|narrowing of the ear canal]] | *Buildup of dead skin causing [[stenosis|narrowing of the ear canal]] | ||
Symptoms of malignant necrotizing otitis externa include | Symptoms of malignant necrotizing otitis externa include:<ref name="pmid12892351">{{cite journal |vauthors=Handzel O, Halperin D |title=Necrotizing (malignant) external otitis |journal=Am Fam Physician |volume=68 |issue=2 |pages=309–12 |year=2003 |pmid=12892351 |doi= |url=}}</ref><ref name="urlMalignant otitis externa: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/000672.htm |title=Malignant otitis externa: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref> | ||
*Severe [[ear pain]] | *Severe [[ear pain]] | ||
*Facial [[paralysis]] | *Facial [[paralysis]] | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:FinalQCRequired]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Immunology]] | |||
Latest revision as of 23:29, 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.; Tarek Nafee, M.D. [2]
Overview
Symptoms for all forms of otitis externa include pain, itching, and swelling of the ear canal. Symptoms of chronic, recurrent otitis externa include lack of earwax and buildup of dead skin causing narrowing of the ear canal. Symptoms of malignant necrotizing otitis externa include severe ear pain, facial paralysis, difficulty opening mouth, and difficulty swallowing. History of allergies, aquatic-based occupations, or exposure to sources of immunocompromise such as chemotherapy and diabetes mellitus should be considered in otitis externa patients.
History
A carefully collected history from a patient with otitis externa may include:
- History of allergies manifesting as [dermatitis]][1]
- History of an occupation involving swimming, scuba-diving, or surfing
- History of immunosuppression in cases of malignant otitis externa:
- Recent chemotherapy
- History of diabetes mellitus
Symptoms
Symptoms of acute otitis externa include:[2]
- Ear pain
- Itching of the ear canal
- Swelling of the ear canal
- Redness of the ear canal
- Pressure inside the ear
- Discharge
- Pain in the jaw when in motion
- Partial hearing loss
- Swollen lymph nodes
- Scaley skin in the ear canal
Symptoms of chronic, recurrent otitis externa include:[3]
- Persistent itching of the ear
- Lack of earwax
- Buildup of dead skin causing narrowing of the ear canal
Symptoms of malignant necrotizing otitis externa include:[4][5]
- Severe ear pain
- Facial paralysis
- Difficulty opening mouth
- Difficulty swallowing
References
- ↑ Rosenfeld, R; Brown, L; Cannon, C; Dolor, R; Ganiats, T; Hannley, M; Kokemueller, P; Marcy, S; Roland, P; Shiffman, R (2006). "Clinical practice guideline: Acute otitis externa". Otolaryngology - Head and Neck Surgery. 134 (4): S4–S23. doi:10.1016/j.otohns.2006.02.014. ISSN 0194-5998.
- ↑ "Otitis externa - Symptoms - NHS Choices".
- ↑ Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ (2014). "Clinical practice guideline: acute otitis externa". Otolaryngol Head Neck Surg. 150 (1 Suppl): S1–S24. doi:10.1177/0194599813517083. PMID 24491310.
- ↑ Handzel O, Halperin D (2003). "Necrotizing (malignant) external otitis". Am Fam Physician. 68 (2): 309–12. PMID 12892351.
- ↑ "Malignant otitis externa: MedlinePlus Medical Encyclopedia".