Otalgia physical examination: Difference between revisions
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==Ear examination in Otalgia== | ==Ear examination in Otalgia== | ||
* In Acute [[Otitis media]] the tympanic membrane is red and bulging outwards | * Abnormal ear examination | ||
* In [[Otitis externa]] (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus | ** In Acute [[Otitis media]] the tympanic membrane is red and bulging outwards | ||
* Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children. | ** In [[Otitis externa]] (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus | ||
* In [[Barotrauma]] which occurs while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing [[Eustachian tube ]] dysfunction. | ** Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children. | ||
** In [[Barotrauma]] which occurs while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing [[Eustachian tube ]] dysfunction. | |||
==References== | ==References== | ||
Revision as of 19:02, 1 July 2012
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Otalgia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Otalgia physical examination On the Web |
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American Roentgen Ray Society Images of Otalgia physical examination |
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Risk calculators and risk factors for Otalgia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S [2]
Overview
Otalgia is one of the leading complaints in the pediatric age group. Otitis media, Otitis externa, Ear trauma are among the leading causes of ear pain. When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal.
|
Otalgia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Otalgia physical examination On the Web |
|
American Roentgen Ray Society Images of Otalgia physical examination |
|
Risk calculators and risk factors for Otalgia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S [4]
Physical examination
The physical examination should include an exhaustive otologic, neuro-otologic, head, and neck examination. Mandatory examinations should include:
- Rhinoscopy
- Nasopharyngoscopy
- Indirect Laryngoscopy
Sinuses should be evaluated for any Sinusitis. Palpation of the neck is important to look for thyroid disease, adenopathy, and musculoskeletal disorders. Some studies have shown a well known association of ear pain and malignant upper aerodigestive tract tumors. SO in case of failure to establish an accurate diagnosis a tumor should be suspected and work-up for it should be started.
Ear examination in Otalgia
- Abnormal ear examination
- In Acute Otitis media the tympanic membrane is red and bulging outwards
- In Otitis externa (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus
- Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children.
- In Barotrauma which occurs while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing Eustachian tube dysfunction.