Ear pain resident survival guide: Difference between revisions
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*[[ carotid artery aneurysm]] | *[[ carotid artery aneurysm]] | ||
*[[ Pott puffy tumor]] | *[[ Pott puffy tumor]] | ||
*[[malignant neoplasms]] | |||
===Common Causes=== | ===Common Causes=== | ||
Common causes for Primary Otalgia | '''Common causes for Primary Otalgia''' | ||
*[[Otitis media]] | *[[Otitis media]] | ||
*[[Otitis externa]] | *[[Otitis externa]] | ||
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*[[Cholesteatoma]] | *[[Cholesteatoma]] | ||
Common causes for Secondary Otalgia | '''Common causes for Secondary Otalgia''' | ||
*[[Bell palsy]] | *[[Bell palsy]] | ||
*[[Carotidynia]] | *[[Carotidynia]] | ||
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*[[Salivary gland disorders]] | *[[Salivary gland disorders]] | ||
*[[Sinusitis]] | *[[Sinusitis]] | ||
*[[ | *[[thyroiditis]] | ||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 16:02, 25 September 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Ear pain or otalgia maybe it is the pain that originates outside the ear or pain that originates from the ear and the etiology can be difficult to establish because of the complex innervation of the ear[1].otalgia classified as primary which originated from the ear, and secondary which originated outside the ear[2]. When the ear examination is abnormal, the source of the pain from the ear (primary otalgia). When the ear examination is typically normal, the source of the pain is not the ear(secondary otalgia). Secondary otalgia (referred pain) cause is often difficult to determine because the innervation of the ear is complex .[2]
Causes
Life Threatening Causes
Otalgia is not life-threatening, but there are some characteristics that make a serious diagnosis more likely in patients with otalgia. As patients who are 50 years or older, have coronary artery disease, have diabetes, or are immunocompromised are at higher risk. In addition, patients who smoke, drink alcohol, or lose weight unintentionally should undergo more scrutiny.Otalgia may also be the first sign of:-
- temporal arteritis
- Myocardial infarction
- Thoracic aneurysms
- subdural hematoma
- lung cancer
- central line placement
- carotid artery aneurysm
- Pott puffy tumor
- malignant neoplasms
Common Causes
Common causes for Primary Otalgia
- Otitis media
- Otitis externa
- Barotrauma
- Eustachian tube dysfunction
- Foreign object
- Cellulitis of auricle
- Cholesteatoma
Common causes for Secondary Otalgia
- Bell palsy
- Carotidynia
- Cervical adenopathy
- Cervical spine arthritis
- Cricoarytenoid arthritis
- Dental infections
- Gastroesophageal reflux
- Head and neck tumors
- Temporomandibular joint syndrome
- Myofascial pain
- Neuralgias (trigeminal, glossopharyngeal, geniculate, sphenopalatine)
- Oral aphthous ulcers
- Pharyngitis or tonsillitis
- Salivary gland disorders
- Sinusitis
- thyroiditis
Diagnosis
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.
- ↑ Charlett SD, Coatesworth AP (2007). "Referred otalgia: a structured approach to diagnosis and treatment". Int J Clin Pract. 61 (6): 1015–21. doi:10.1111/j.1742-1241.2006.00932.x. PMID 17504363.
- ↑ 2.0 2.1 Earwood JS, Rogers TS, Rathjen NA (2018). "Ear Pain: Diagnosing Common and Uncommon Causes". Am Fam Physician. 97 (1): 20–27. PMID 29365233.