Differentiating mastoiditis from other diseases: Difference between revisions
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|Mastoiditis | |Mastoiditis | ||
| | | | ||
*History of otitis media | *History of [[otitis media]] | ||
*Posterior [[Otalgia|ear pain]] | *Posterior [[Otalgia|ear pain]] | ||
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*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 presents | ||
|- | |- | ||
|Enlarged | |Enlarged [[lymph node]] | ||
| | | | ||
*Well defined and mobile mass | *Well defined and mobile mass | ||
*No inflammation signs | *No [[inflammation]] signs | ||
|No effect on auricle and tympanic | |No effect on [[auricle]] and [[tympanic membrane]] | ||
| | | | ||
*Leukocytosis may be presents | *[[Leukocytosis]] may be presents | ||
*High | *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. | * History of a minor [[bite]] or minor [[trauma]] commonly exists. | ||
* Pain and | * [[Pain]] and [[redness]] in the site. | ||
|Tympanic membrane is normal. | |[[Tympanic membrane]] is normal. | ||
| | | | ||
*Leukocytosis may be presents | *[[Leukocytosis]] may be presents | ||
*High | *High [[erythrocyte sedimentation rate]] may be presents | ||
|- | |- | ||
|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 presents | *[[Leukocytosis]] may be presents | ||
*High | *High [[erythrocyte sedimentation rate]] may be presents | ||
|- | |- | ||
|Mumps | |[[Mumps]] | ||
| | | | ||
*Parotid glands swelling | *[[Parotid glands]] [[swelling]] | ||
*Inflammation and pain presents | *[[Inflammation]] and [[pain]] presents | ||
|Tympanic membrane is normal | |[[Tympanic membrane]] is normal | ||
|Mild leukocytosis may be presents | |Mild [[leukocytosis]] may be presents | ||
|- | |- | ||
|Mastoid tumors | |Mastoid [[tumors]] | ||
| | | | ||
*Painless mass | *Painless mass | ||
*No inflammation | *No [[inflammation]] | ||
|Tympanic membrane is normal | |[[Tympanic membrane]] is normal | ||
| | | | ||
*Normal white blood | *Normal [[white blood cells]] count | ||
*normal | *normal [[erythrocyte sedimentation rate]] | ||
|} | |} | ||
Revision as of 13:40, 5 July 2017
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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
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 finding 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 |
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| Enlarged lymph node |
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No effect on auricle and tympanic membrane |
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| Periauricular cellulitis | Tympanic membrane is normal. |
| |
| Perichondritis of the auricle | Swelling and erythema of the pinna. |
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| Mumps |
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Tympanic membrane is normal | Mild leukocytosis may be presents |
| Mastoid tumors |
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Tympanic membrane is normal |
|
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.