Mastoiditis history and symptoms: Difference between revisions
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{{Mastoiditis}} | {{Mastoiditis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{MJ}} | ||
==Overview== | ==Overview== | ||
History and symptoms of mastoiditis | History and [[symptoms]] of mastoiditis range from [[asymptomatic]] disease to [[symptomatic]] and progressive mastoiditis with serious life-threatening complications. History should be taken considering onset, duration, and progression of symptoms, [[allergies]], previous history of [[acute otitis media]], [[upper respiratory tract infection]], associated symptoms ([[otalgia]], [[fever]], [[confusion]]), [[medications]] including [[antibiotic]] usage in [[Acute otitis media|acute otitis media,]] [[snoring]], attendance to day care, history of [[trauma|trauma,]] co-morbid conditions like [[diabetes]], [[immunodeficiency]], and smoking. Common symptoms of mastoiditis are: [[ear pain]], [[fever]], feeling of "fullness" in the ear, recent episode of [[acute otitis media|acute otitis media,]] [[discharge]] from the affected ear, partial hearing loss, [[irritability]] (in infants), [[headache]], and [[lethargy]]/[[malaise|malaise.]] [[Neurological]] symptoms from chronic mastoiditis and [[otitis media]] with effusion include poor [[attention span]], delayed speech development, [[clumsiness]], and poor [[balance]]. Less common symptoms are gastrointestinal symptoms such as [[vomiting]] and [[diarrhea]], [[meningismus]], and [[torticollis]]. | ||
== History == | == History == | ||
Obtaining | Obtaining a detailed history is a very important aspect of diagnosis of mastoiditis. It provides insight into the causes, precipitating factors and associated comorbid conditions. | ||
History should be taken considering the following: | |||
* Onset, duration, and progression of symptoms | |||
* [[Allergies]] | * [[Allergies]] | ||
* Previous history of [[acute otitis media]] | * Previous history of [[acute otitis media]] | ||
* [[Upper respiratory tract infection]] | * [[Upper respiratory tract infection]] | ||
* Associated symptoms(otalgia, [[fever]], [[confusion]]) | * Associated symptoms ([[otalgia]], [[fever]], [[confusion]]) | ||
* Medications, include antibiotic usage in acute otitis media | * [[Medications]], include [[antibiotic]] usage in [[acute otitis media]] | ||
* [[Snoring]] | * [[Snoring]] | ||
* Attendance to day care | * Attendance to day care | ||
* History of [[ | * History of [[trauma]] | ||
* Co-morbid conditions like [[diabetes]] | * Co-morbid conditions like [[diabetes]] or [[immunodeficiency]] | ||
* [[Smoking]] | * [[Smoking]], which contributes to fluid accumulation and blockage in the [[eustachian tube]] | ||
* | * [[Smoking]] during pregnancy | ||
* Occupations involving exposure to air pollution | * Occupations involving exposure to [[air pollution]] | ||
* Social status | * Social status<ref name="pmid24466073">{{cite journal |vauthors=Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY |title=Risk factors for chronic and recurrent otitis media-a meta-analysis |journal=PLoS ONE |volume=9 |issue=1 |pages=e86397 |year=2014 |pmid=24466073 |pmc=3900534 |doi=10.1371/journal.pone.0086397 |url=}}</ref><ref name="pmid6877011">{{cite journal |vauthors=Holt GR, Gates GA |title=Masked mastoiditis |journal=Laryngoscope |volume=93 |issue=8 |pages=1034–7 |year=1983 |pmid=6877011 |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> | ||
== Common Symptoms == | == Common Symptoms == | ||
Common symptoms of mastoiditis are: | Common symptoms of mastoiditis are: | ||
* [[Ear pain]] | * [[Ear pain]] | ||
* | * [[Fever]] | ||
* Feeling of "fullness" in the ear | * Feeling of "fullness" in the ear | ||
* Recent episode of acute otitis media | * Recent episode of [[acute otitis media]] | ||
* Fluid discharge in the ear | * Fluid [[discharge]] in the ear | ||
* Partial loss | * Partial hearing loss | ||
* Irritability (in infants) | * [[Irritability]] (in infants) | ||
* | * [[Headache]] | ||
* Lethargy/malaise | * [[Lethargy]]/[[malaise]] | ||
* [[Neurological]] symptoms from chronic mastoiditis and otitis media with effusion: | * [[Neurological]] symptoms from chronic mastoiditis and [[otitis media]] with effusion: | ||
** Poor attention span | ** Poor [[attention span]] | ||
** Delayed speech development | ** Delayed speech development | ||
** Clumsiness | ** [[Clumsiness]] | ||
** Poor balance | ** Poor balance<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> | ||
== Less Common Symptoms == | == Less Common Symptoms == | ||
Less common mastoiditis symptoms are: | |||
* [[Gastrointestinal]] symptoms such as [[vomiting]] and [[diarrhea]] | |||
* [[Meningismus]] | |||
* [[Torticollis]]<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> | |||
==References== | ==References== | ||
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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 22:39, 29 July 2020
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Mastoiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
History and symptoms of mastoiditis range from asymptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications. History should be taken considering onset, duration, and progression of symptoms, allergies, previous history of acute otitis media, upper respiratory tract infection, associated symptoms (otalgia, fever, confusion), medications including antibiotic usage in acute otitis media, snoring, attendance to day care, history of trauma, co-morbid conditions like diabetes, immunodeficiency, and smoking. Common symptoms of mastoiditis are: ear pain, fever, feeling of "fullness" in the ear, recent episode of acute otitis media, discharge from the affected ear, partial hearing loss, irritability (in infants), headache, and lethargy/malaise. Neurological symptoms from chronic mastoiditis and otitis media with effusion include poor attention span, delayed speech development, clumsiness, and poor balance. Less common symptoms are gastrointestinal symptoms such as vomiting and diarrhea, meningismus, and torticollis.
History
Obtaining a detailed history is a very important aspect of diagnosis of mastoiditis. It provides insight into the causes, precipitating factors and associated comorbid conditions.
History should be taken considering the following:
- Onset, duration, and progression of symptoms
- Allergies
- Previous history of acute otitis media
- Upper respiratory tract infection
- Associated symptoms (otalgia, fever, confusion)
- Medications, include antibiotic usage in acute otitis media
- Snoring
- Attendance to day care
- History of trauma
- Co-morbid conditions like diabetes or immunodeficiency
- Smoking, which contributes to fluid accumulation and blockage in the eustachian tube
- Smoking during pregnancy
- Occupations involving exposure to air pollution
- Social status[1][2][3]
Common Symptoms
Common symptoms of mastoiditis are:
- Ear pain
- Fever
- Feeling of "fullness" in the ear
- Recent episode of acute otitis media
- Fluid discharge in the ear
- Partial hearing loss
- Irritability (in infants)
- Headache
- Lethargy/malaise
- Neurological symptoms from chronic mastoiditis and otitis media with effusion:
- Poor attention span
- Delayed speech development
- Clumsiness
- Poor balance[3]
Less Common Symptoms
Less common mastoiditis symptoms are:
- Gastrointestinal symptoms such as vomiting and diarrhea
- Meningismus
- Torticollis[3]
References
- ↑ Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY (2014). "Risk factors for chronic and recurrent otitis media-a meta-analysis". PLoS ONE. 9 (1): e86397. doi:10.1371/journal.pone.0086397. PMC 3900534. PMID 24466073.
- ↑ Holt GR, Gates GA (1983). "Masked mastoiditis". Laryngoscope. 93 (8): 1034–7. PMID 6877011.
- ↑ 3.0 3.1 3.2 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.