Mastoiditis physical examination: Difference between revisions

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=== Neck ===
=== Neck ===
Patients with mastoiditis may present with tender [[cervical lymph nodes]], which are suggestive of regional [[infection]].
Patients with mastoiditis may present with tender [[cervical lymph nodes]], which are suggestive of regional [[infection]].
==Gallery==
<gallery heights="125" widths="200">
Image:Mastoidectomy Arrowheads LABELED.jpg|Picture of a right mastoidectomy, surgeon's view.  Note the blue color of the skeletonized sigmoid sinus.<ref>http://www.ghorayeb.com</ref>
Image:Mastoidectomy labeled1.jpg|Picture of a left mastoidectomy, surgeon's view.<ref>http://www.ghorayeb.com</ref>
Image:Mastoidectomy labeled.jpg|In this left canal wall up mastoidectomy, the tympanic membrane has been elevated forward and a cholesteatoma sac is visible in the attic.<ref>http://www.ghorayeb.com</ref>
Image:Mastoid cutaneous fistula trim.jpg|This patient has a recurrent cholesteatoma which has found its way to the surface of the post-auricular skin, forming a mastoid cutaneous fistula.<ref>http://www.ghorayeb.com</ref>
Image:Cholesteatoma sac eroding mastoid.jpg|This cholesteatoma sac has eroded the lateral surface of the mastoid bone and was found immediately under the post-auricular skin.<ref>http://www.ghorayeb.com</ref>
Image:Mastoidectomy Bowl.jpg|Left canal wall down mastoidectomy.This patient had a modified radical mastoidectomy with tympanoplasty.  The posterior bony canal has been removed and part of the dry "mastoid bowl" is visible posterior and superior to the reconstructed tympanic membrane <ref>http://www.ghorayeb.com</ref>.
Image:Mastoidectomy Bowl 008.jpg|Magnification of the previous picture <ref>http://www.ghorayeb.com</ref>.
</gallery>


==References==
==References==

Revision as of 17:38, 27 June 2017

Mastoiditis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Mastoiditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

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

Overview

Physical Examination

Appearance of the Patient

Patients with mastoiditis usually appear ill and have marked inflammation and edema of the periuricular area.

Vital Signs

Patients with mastoiditis may have the following vital signs, which are suggestive of infection:

Skin

Patients with orbital cellulitis may present with the following skin findings:

HEENT

Patients with mastoiditis may have the following HEENT findings on physical examination:

Head

Patients with mastoiditis may present with the following signs:

  • Evidence of recent orbital or head trauma, or surgery (e.g., scars, injuries, etc.)
  • Evidence of recent insect bites

Ear

Patients with mastoiditis may present with below signs:

  • otorrhea
  • Postauricular swelling
  • Postauricular erythema
  • Postauricular tenderness
  • Protrusion of pinna
  • Sagging external ear canal
  • Blurred tympanic membrane

Also mastoiditis patients may present with signs which are suggestive of inner or middle ear infection:

Throat/Oral

Patients with mastoiditis may present with signs which are suggestive of oral, pharyngeal, or upper respiratory tract infections:

Neck

Patients with mastoiditis may present with tender cervical lymph nodes, which are suggestive of regional infection.

References

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