Ear pain resident survival guide

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Synonyms and keywords:

Overview

Ear pain or otalgia maybe it is the pain that originates outside the ear or pain that originates from the ear and the etiology can be difficult to establish because of the complex innervation of the ear.otalgia classified as primary which originated from the ear, and secondary which originated outside the ear. When the ear examination is abnormal, the source of the pain from the ear (primary otalgia). When the ear examination is typically normal, the source of the pain is not the ear(secondary otalgia). Secondary otalgia (referred pain) cause is often difficult to determine because the innervation of the ear is complex .

Causes

Life Threatening Causes

Otalgia is not life-threatening, but there are some characteristics that make a serious diagnosis more likely in patients with otalgia. As patients who are 50 years or older, have coronary artery disease, have diabetes, or are immunocompromised are at higher risk. In addition, patients who smoke, drink alcohol, or lose weight unintentionally should undergo more scrutiny.Otalgia may also be the first sign of:-

• temporal arteritis
• Myocardial infarction
• Thoracic aneurysms
• subdural hematoma
• lung cancer
• central line placement
• carotid artery aneurysm
• Pott puffy tumor

Common Causes

• Otitis media
• Otitis externa
• Temporomandibular joint syndrome
• Dental infections
• Common cause 5

Diagnosis

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Treatment

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