Ear pain resident survival guide (pediatrics)
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
primary otalgia
Otitis externa (swimmer's ear)
- Pseudomonas.
- Staph aureus.
Mechanical obstruction
- Earwax
- Foreign body
Otitis media[1]
- common cold or upper respiratory tract infection
- 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
The first step when the child come at hospital with ear pain for examination by otoscopy. Ear pain
- Abnormal ear examination(otoscopy).
- primary otalgia.
- Normal ear examination(otoscopy).
- secondary otalgia.
- imaging studies.
IF Diagnosis is not clear from the history and physical examination.
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.
DO NOT block any drainage coming from the ear. DO NOT try to clean or wash the inside of the ear canal. DO NOT put any liquid into the ear. DO NOT attempt to remove the object by probing with a cotton swab, a pin, or any other tool. To do so will risk pushing the object farther into the ear and damaging the middle ear. DO NOT reach inside the ear canal with tweezers.