Otitis media physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Otitis media}} | {{Otitis media}} | ||
{{CMG}} | {{CMG}} {{AE}} {{LRO}} | ||
==Overview== | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | |||
* | *Acute otitis media: patient is usually ill-appearing due to the usually-accompanying [[common cold]] symptoms.<ref name="urlEar infection - acute: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/000638.htm |title=Ear infection - acute: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref> | ||
* | *Otitis media with effusion: patient is usually well-appearing.<ref name="urlOtitis media with effusion: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/007010.htm |title=Otitis media with effusion: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref> | ||
* | |||
* [[ | ===HEENT=== | ||
* | *[[Otoscopic]] examination of the ears may reveal the following signs indicative of otitis media:<ref name="pmid25213276">{{cite journal |vauthors=Rettig E, Tunkel DE |title=Contemporary concepts in management of acute otitis media in children |journal=Otolaryngol. Clin. North Am. |volume=47 |issue=5 |pages=651–72 |year=2014 |pmid=25213276 |pmc=4393005 |doi=10.1016/j.otc.2014.06.006 |url=}}</ref> | ||
* [[ | **[[Erythema]] of the [[middle ear]]. | ||
* | **Presence of effusion.<ref name="pmid23346249">{{cite journal |vauthors=Parlea E, Georgescu M, Calarasu R |title=Tympanometry as a predictor factor in the evolution of otitis media with effusion |journal=J Med Life |volume=5 |issue=4 |pages=452–4 |year=2012 |pmid=23346249 |pmc=3539835 |doi= |url=}}</ref> | ||
**Bulging of the [[tympanic membrane]] in otitis media with effusion. | |||
**Cloudy appearance of the [[tympanic membrane]]. | |||
**Immobility of the [[tympanic membrane]]. | |||
**[[Tympanic membrane]] perforation. | |||
*[[Tympanometry]] may reveal [[hearing loss]] due to effusion, as measured by abnormally large reflection of sound due to elevated pressure from fluid buildup.<ref name="pmid23346249">{{cite journal |vauthors=Parlea E, Georgescu M, Calarasu R |title=Tympanometry as a predictor factor in the evolution of otitis media with effusion |journal=J Med Life |volume=5 |issue=4 |pages=452–4 |year=2012 |pmid=23346249 |pmc=3539835 |doi= |url=}}</ref> | |||
===Vital Signs=== | |||
*Low-grade [[fever]] is usually present in acute otitis media patients. | |||
<gallery> | <gallery> | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Revision as of 15:31, 5 April 2016
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Otitis media Microchapters |
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Otitis media physical examination On the Web |
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American Roentgen Ray Society Images of Otitis media physical examination |
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Risk calculators and risk factors for Otitis media physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Physical Examination
Appearance of the Patient
- Acute otitis media: patient is usually ill-appearing due to the usually-accompanying common cold symptoms.[1]
- Otitis media with effusion: patient is usually well-appearing.[2]
HEENT
- Otoscopic examination of the ears may reveal the following signs indicative of otitis media:[3]
- Erythema of the middle ear.
- Presence of effusion.[4]
- Bulging of the tympanic membrane in otitis media with effusion.
- Cloudy appearance of the tympanic membrane.
- Immobility of the tympanic membrane.
- Tympanic membrane perforation.
- Tympanometry may reveal hearing loss due to effusion, as measured by abnormally large reflection of sound due to elevated pressure from fluid buildup.[4]
Vital Signs
- Low-grade fever is usually present in acute otitis media patients.
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Otitis media acuta - Myringitis bullosa
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Otitis media acuta
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Otitis media acuta
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Otitis media chronica mesotympanalis
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Otitis media chronica mesotympanalis
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Otitis media chronica mesotympanalis
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Otitis media chronica mesotympanalis
References
- ↑ "Ear infection - acute: MedlinePlus Medical Encyclopedia".
- ↑ "Otitis media with effusion: MedlinePlus Medical Encyclopedia".
- ↑ Rettig E, Tunkel DE (2014). "Contemporary concepts in management of acute otitis media in children". Otolaryngol. Clin. North Am. 47 (5): 651–72. doi:10.1016/j.otc.2014.06.006. PMC 4393005. PMID 25213276.
- ↑ 4.0 4.1 Parlea E, Georgescu M, Calarasu R (2012). "Tympanometry as a predictor factor in the evolution of otitis media with effusion". J Med Life. 5 (4): 452–4. PMC 3539835. PMID 23346249.