Mastoiditis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
History and symptoms of mastoiditis ranges from non-symptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications. History taking should be considering 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|acute otitis media,]] snoring, attendance to day care, history of [[Trauma|Trauma,]] co-morbid conditions like [[diabetes]], [[immunodeficiency]], smoking. Common symptoms of mastoiditis are: [[ear pain]], [[fever]], feeling of "fullness" in the ear, recent episode of [[Acute otitis media|acute otitis media,]] fluid [[discharge]] in the ear, partial loss of hearing, [[irritability]] (in infants), [[headache]], [[lethargy]]/[[Malaise|malaise.]][[Neurological]] symptoms from chronic mastoiditis and [[otitis media]] with effusion: poor attention span, delayed speech development, [[clumsiness]] and poor balance. | History and [[symptoms]] of mastoiditis ranges from non-symptomatic disease to [[symptomatic]] and progressive mastoiditis with serious life-threatening complications. History taking should be considering 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|acute otitis media,]] snoring, attendance to day care, history of [[Trauma|Trauma,]] co-morbid conditions like [[diabetes]], [[immunodeficiency]], smoking. Common symptoms of mastoiditis are: [[ear pain]], [[fever]], feeling of "fullness" in the ear, recent episode of [[Acute otitis media|acute otitis media,]] fluid [[discharge]] in the ear, partial loss of hearing, [[irritability]] (in infants), [[headache]], [[lethargy]]/[[Malaise|malaise.]][[Neurological]] symptoms from chronic mastoiditis and [[otitis media]] with effusion: poor attention span, delayed speech development, [[clumsiness]] and poor balance. Less Common Symptoms are: gastrointestinal symptoms such as [[vomiting]] and [[diarrhea]], [[meningismus]], [[torticollis]]. | ||
== History == | == History == | ||
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* Co-morbid conditions like [[diabetes]], [[immunodeficiency]] | * Co-morbid conditions like [[diabetes]], [[immunodeficiency]] | ||
* [[Smoking]]: contributes to fluid buildup and blockage in the [[eustachian tube]] | * [[Smoking]]: contributes to fluid buildup and blockage in the [[eustachian tube]] | ||
* [[ | * [[Smoking]] during pregnancy | ||
* Occupations involving exposure to [[air pollution]]. | * Occupations involving exposure to [[air pollution]]. | ||
* 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> | * 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> |
Revision as of 15:27, 24 July 2017
Mastoiditis Microchapters |
Diagnosis |
---|
Treatment |
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 ranges from non-symptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications. History taking should be considering 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, immunodeficiency, smoking. 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 loss of hearing, irritability (in infants), headache, lethargy/malaise.Neurological symptoms from chronic mastoiditis and otitis media with effusion: poor attention span, delayed speech development, clumsiness and poor balance. Less Common Symptoms are: gastrointestinal symptoms such as vomiting and diarrhea, meningismus, torticollis.
History
Obtaining the history is a very important aspect of making a diagnosis of mastoiditis. It provides insight into cause, precipitating factors and associated comorbid conditions.
History taking should be considering below items:
- 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, immunodeficiency
- Smoking: contributes to fluid buildup 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 loss of hearing
- 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.