Ear pain resident survival guide (pediatrics): Difference between revisions

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==Causes==
==Causes==
===Life Threatening Causes<ref name="pmid29365233">{{cite journal| author=Earwood JS, Rogers TS, Rathjen NA| title=Ear Pain: Diagnosing Common and Uncommon Causes. | journal=Am Fam Physician | year= 2018 | volume= 97 | issue= 1 | pages= 20-27 | pmid=29365233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29365233  }}</ref>===
===Life Threatening Causes===
Ear pain is not life threatening
Ear pain is not life threatening


===Common Causes  ===
===Common Causes  ===


primary otalgia <ref name="pmid20736106">{{cite journal| author=Neilan RE, Roland PS| title=Otalgia. | journal=Med Clin North Am | year= 2010 | volume= 94 | issue= 5 | pages= 961-71 | pmid=20736106 | doi=10.1016/j.mcna.2010.05.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20736106  }}</ref>
=== Commoncold or upper respiratory tract infection ===


====== Otitis externa <ref name="pmid16138712">{{cite journal| author=Wang MC, Liu CY, Shiao AS, Wang T| title=Ear problems in swimmers. | journal=J Chin Med Assoc | year= 2005 | volume= 68 | issue= 8 | pages= 347-52 | pmid=16138712 | doi=10.1016/S1726-4901(09)70174-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16138712 }}</ref> (swimmer's ear)<ref name="pmid231986732">{{cite journal| author=Schaefer P, Baugh RF| title=Acute otitis externa: an update. | journal=Am Fam Physician | year= 2012 | volume= 86 | issue= 11 | pages= 1055-61 | pmid=23198673 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23198673  }}</ref>======
=== primary otalgia ===


*Pseudomonas.<ref name="pmid10809975">{{cite journal| author=Zichichi L, Asta G, Noto G| title=Pseudomonas aeruginosa folliculitis after shower/bath exposure. | journal=Int J Dermatol | year= 2000 | volume= 39 | issue= 4 | pages= 270-3 | pmid=10809975 | doi=10.1046/j.1365-4362.2000.00931.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10809975  }}</ref>
====== Otitis externa  (swimmer's ear)======
 
*Pseudomonas.
*Staph aureus.
*Staph aureus.


==== Mechanical obstruction ====
==== Mechanical obstruction ====
*Earwax<ref name="pmid28045632">{{cite journal| author=Schwartz SR, Magit AE, Rosenfeld RM, Ballachanda BB, Hackell JM, Krouse HJ | display-authors=etal| title=Clinical Practice Guideline (Update): Earwax (Cerumen Impaction) Executive Summary | journal=Otolaryngol Head Neck Surg | year= 2017 | volume= 156 | issue= 1 | pages= 14-29 | pmid=28045632 | doi=10.1177/0194599816678832 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28045632  }} </ref>
*Earwax
*Foreign body<ref name="pmid23601480">{{cite journal| author=Conover K| title=Earache. | journal=Emerg Med Clin North Am | year= 2013 | volume= 31 | issue= 2 | pages= 413-42 | pmid=23601480 | doi=10.1016/j.emc.2013.02.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23601480  }} </ref>
*Foreign body


==== Otitis media<ref name="pmid2732519">{{cite journal| author=Teele DW, Klein JO, Rosner B| title=Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. | journal=J Infect Dis | year= 1989 | volume= 160 | issue= 1 | pages= 83-94 | pmid=2732519 | doi=10.1093/infdis/160.1.83 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2732519  }} </ref><ref name="pmid28707578">{{cite journal| author=Leung AKC, Wong AHC| title=Acute Otitis Media in Children. | journal=Recent Pat Inflamm Allergy Drug Discov | year= 2017 | volume= 11 | issue= 1 | pages= 32-40 | pmid=28707578 | doi=10.2174/1874609810666170712145332 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28707578  }} </ref><ref name="pmid24453496" />====
==== Otitis media<ref name="pmid24453496" />====


*Streptococcus pneumoniae
*Streptococcus pneumoniae
*nontypable Haemophilus influenzae
*nontypable Haemophilus influenzae
*Moraxella catarrhalis
*Moraxella catarrhalis
Otitis media with effusion<ref name="pmid10944048">{{cite journal| author=Kubba H, Pearson JP, Birchall JP| title=The aetiology of otitis media with effusion: a review. | journal=Clin Otolaryngol Allied Sci | year= 2000 | volume= 25 | issue= 3 | pages= 181-94 | pmid=10944048 | doi=10.1046/j.1365-2273.2000.00350.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10944048  }} </ref><ref name="pmid24453496">{{cite journal| author=Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M| title=Update on otitis media - prevention and treatment. | journal=Infect Drug Resist | year= 2014 | volume= 7 | issue=  | pages= 15-24 | pmid=24453496 | doi=10.2147/IDR.S39637 | pmc=3894142 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453496  }}</ref><ref name="pmid8229477">{{cite journal| author=Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM| title=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. | journal=J Pediatr | year= 1993 | volume= 123 | issue= 5 | pages= 702-11 | pmid=8229477 | doi=10.1016/s0022-3476(05)80843-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8229477  }}</ref>
Otitis media with effusion


*Enter into group child care(Amounts of time spent)
*Enter into group child care(Amounts of time spent)
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=== Truma ===
=== Truma ===


* Air travel<ref name="pmid25599243">{{cite journal| author=Wright T| title=Middle-ear pain and trauma during air travel. | journal=BMJ Clin Evid | year= 2015 | volume= 2015 | issue=  | pages=  | pmid=25599243 | doi= | pmc=4298289 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25599243  }} </ref>
* Air travel
=== secondary otalgia<ref name="pmid20736106" /><ref name="pmid29365233" />===
=== secondary otalgia<ref name="pmid20736106" /><ref name="pmid29365233" />===


==== Refered ear pain====
==== Refered ear pain====


* Tonsillitis and Tonsillectomy<ref name="pmid30798778">{{cite journal| author=Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA | display-authors=etal| title=Clinical Practice Guideline: Tonsillectomy in Children (Update). | journal=Otolaryngol Head Neck Surg | year= 2019 | volume= 160 | issue= 1_suppl | pages= S1-S42 | pmid=30798778 | doi=10.1177/0194599818801757 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30798778  }}</ref>
* Tonsillitis and Tonsillectomy


* Toothaches.  
* Toothaches.  
Line 65: Line 67:
* Sorethroat.  
* Sorethroat.  
* Mumps  
* Mumps  
* dental infections
* dental infections  
* mastoiditis<ref name="pmid16686225">{{cite journal| author=Rodríguez Paramás A, Mancheño Losa M, García de Pedro F, Encinas A, Gutiérrez Triguero M| title=
*Temporomandibular joint disorder (TMJ)  
*Temporomandibular joint disorder (TMJ)  
commoncold or upper respiratory tract infection
 
<br />
==FIRE: Focused Initial Rapid Evaluation==
==FIRE: Focused Initial Rapid Evaluation==


Revision as of 19:38, 10 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

Ear pain is not life threatening

Common Causes

Commoncold or upper respiratory tract infection

primary otalgia

Otitis externa (swimmer's ear)
  • Pseudomonas.
  • Staph aureus.

Mechanical obstruction

  • Earwax
  • Foreign body

Otitis media[1]

  • Streptococcus pneumoniae
  • nontypable Haemophilus influenzae
  • Moraxella catarrhalis

Otitis media with effusion

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

Truma

  • Air travel

secondary otalgia[2][3]

Refered ear pain

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


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.

References

  1. ↑
  2. ↑
  3. ↑


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