Otitis media physical examination
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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]
Ears
- 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.
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.