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==Don'ts==
==Don'ts==
* The content in this section is in bullet points.
* The content in this section is in bullet points.
 
DO NOT block any drainage coming from the ear.
DO NOT try to clean or wash the inside of the ear canal.
DO NOT put any liquid into the ear.
DO NOT attempt to remove the object by probing with a cotton swab, a pin, or any other tool. To do so will risk pushing the object farther into the ear and damaging the middle ear.
DO NOT reach inside the ear canal with tweezers.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 07:49, 15 August 2020


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

Ear pain resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes[1]

Ear pain is not life threatening

Common Causes

common cold or upper respiratory tract infection [2]

primary otalgia [3]

Otitis externa [4] (swimmer's ear)[5]
  • Pseudomonas.[6]
  • Staph aureus.

Mechanical obstruction

Otitis media[9][10][11]

  • Streptococcus pneumoniae
  • nontypable Haemophilus influenzae
  • Moraxella catarrhalis

Otitis media with effusion[12][11][13]

  • Enter into group child care(Amounts of time spent)
  • Exposure of smoking
  • Peroid of breastfeeding

Truma

secondary otalgia[3][1]

Refered ear pain

  • Tonsillitis and Tonsillectomy[15]
  • Toothaches.
  • Sorethroat.
  • Mumps
  • dental infections
  • Temporomandibular joint disorder (TMJ) [16]

FIRE: Focused Initial Rapid Evaluation

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

DO NOT block any drainage coming from the ear. DO NOT try to clean or wash the inside of the ear canal. DO NOT put any liquid into the ear. DO NOT attempt to remove the object by probing with a cotton swab, a pin, or any other tool. To do so will risk pushing the object farther into the ear and damaging the middle ear. DO NOT reach inside the ear canal with tweezers.

References

  1. ↑ 1.0 1.1 Earwood JS, Rogers TS, Rathjen NA (2018). "Ear Pain: Diagnosing Common and Uncommon Causes". Am Fam Physician. 97 (1): 20–27. PMID 29365233.
  2. ↑ Worrall G (2011). "Acute earache". Can Fam Physician. 57 (9): 1019–21, e320–2. PMC 3173423. PMID 21918146.
  3. ↑ 3.0 3.1 Neilan RE, Roland PS (2010). "Otalgia". Med Clin North Am. 94 (5): 961–71. doi:10.1016/j.mcna.2010.05.004. PMID 20736106.
  4. ↑ Wang MC, Liu CY, Shiao AS, Wang T (2005). "Ear problems in swimmers". J Chin Med Assoc. 68 (8): 347–52. doi:10.1016/S1726-4901(09)70174-1. PMID 16138712.
  5. ↑ Schaefer P, Baugh RF (2012). "Acute otitis externa: an update". Am Fam Physician. 86 (11): 1055–61. PMID 23198673.
  6. ↑ Zichichi L, Asta G, Noto G (2000). "Pseudomonas aeruginosa folliculitis after shower/bath exposure". Int J Dermatol. 39 (4): 270–3. doi:10.1046/j.1365-4362.2000.00931.x. PMID 10809975.
  7. ↑ Schwartz SR, Magit AE, Rosenfeld RM, Ballachanda BB, Hackell JM, Krouse HJ; et al. (2017). "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction) Executive Summary". Otolaryngol Head Neck Surg. 156 (1): 14–29. doi:10.1177/0194599816678832. PMID 28045632.
  8. ↑ Conover K (2013). "Earache". Emerg Med Clin North Am. 31 (2): 413–42. doi:10.1016/j.emc.2013.02.001. PMID 23601480.
  9. ↑ Teele DW, Klein JO, Rosner B (1989). "Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study". J Infect Dis. 160 (1): 83–94. doi:10.1093/infdis/160.1.83. PMID 2732519.
  10. ↑ Leung AKC, Wong AHC (2017). "Acute Otitis Media in Children". Recent Pat Inflamm Allergy Drug Discov. 11 (1): 32–40. doi:10.2174/1874609810666170712145332. PMID 28707578.
  11. ↑ 11.0 11.1 Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M (2014). "Update on otitis media - prevention and treatment". Infect Drug Resist. 7: 15–24. doi:10.2147/IDR.S39637. PMC 3894142. PMID 24453496.
  12. ↑ Kubba H, Pearson JP, Birchall JP (2000). "The aetiology of otitis media with effusion: a review". Clin Otolaryngol Allied Sci. 25 (3): 181–94. doi:10.1046/j.1365-2273.2000.00350.x. PMID 10944048.
  13. ↑ Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM (1993). "Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life". J Pediatr. 123 (5): 702–11. doi:10.1016/s0022-3476(05)80843-1. PMID 8229477.
  14. ↑ Wright T (2015). "Middle-ear pain and trauma during air travel". BMJ Clin Evid. 2015. PMC 4298289. PMID 25599243.
  15. ↑ Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA; et al. (2019). "Clinical Practice Guideline: Tonsillectomy in Children (Update)". Otolaryngol Head Neck Surg. 160 (1_suppl): S1–S42. doi:10.1177/0194599818801757. PMID 30798778.
  16. ↑ Gauer RL, Semidey MJ (2015). "Diagnosis and treatment of temporomandibular disorders". Am Fam Physician. 91 (6): 378–86. PMID 25822556.


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