Ear pain resident survival guide (pediatrics): Difference between revisions

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==Causes==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Ear pain is not life threatening
Ear pain is not life threatening<ref name="pmid29365233">{{cite journal| author=Earwood JS, Rogers TS, Rathjen NA| title=Ear Pain: Diagnosing Common and Uncommon Causes. | journal=Am Fam Physician | year= 2018 | volume= 97 | issue= 1 | pages= 20-27 | pmid=29365233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29365233  }}</ref>


===Common Causes ===
===Common Causes ===


=== outer ear ===
==== Otitis externa  (swimmer's ear)<ref name="pmid24491310">{{cite journal| author=Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA | display-authors=etal| title=Clinical practice guideline: acute otitis externa. | journal=Otolaryngol Head Neck Surg | year= 2014 | volume= 150 | issue= 1 Suppl | pages= S1-S24 | pmid=24491310 | doi=10.1177/0194599813517083 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24491310  }}</ref> ====
 
==== Otitis externa  (swimmer's ear)====


*Pseudomonas.
*Pseudomonas.
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*Foreign body
*Foreign body


=== middle ear===
==== Otitis media<ref name="pmid24453496" /><ref name="pmid28707578">{{cite journal| author=Leung AKC, Wong AHC| title=Acute Otitis Media in Children. | journal=Recent Pat Inflamm Allergy Drug Discov | year= 2017 | volume= 11 | issue= 1 | pages= 32-40 | pmid=28707578 | doi=10.2174/1874609810666170712145332 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28707578  }}</ref>====
==== Otitis media<ref name="pmid24453496" />====
 
*Streptococcus pneumoniae
*Streptococcus pneumoniae
*nontypable Haemophilus influenzae
*nontypable Haemophilus influenzae
*Moraxella catarrhalis
*Moraxella catarrhalis
==== Otitis media with effusion====
==== Otitis media with effusion<ref name="pmid24453496">{{cite journal| author=Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M| title=Update on otitis media - prevention and treatment. | journal=Infect Drug Resist | year= 2014 | volume= 7 | issue=  | pages= 15-24 | pmid=24453496 | doi=10.2147/IDR.S39637 | pmc=3894142 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24453496  }}</ref><ref name="pmid8229477">{{cite journal| author=Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM| title=Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life. | journal=J Pediatr | year= 1993 | volume= 123 | issue= 5 | pages= 702-11 | pmid=8229477 | doi=10.1016/s0022-3476(05)80843-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8229477  }}</ref>====


*Enter into group child care(Amounts of time spent)
*Enter into group child care(Amounts of time spent)
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==== Refered ear pain ====
==== Refered ear pain ====
Tonsillectomy
Tonsillectomy<ref name="pmid30798778">{{cite journal| author=Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA | display-authors=etal| title=Clinical Practice Guideline: Tonsillectomy in Children (Update). | journal=Otolaryngol Head Neck Surg | year= 2019 | volume= 160 | issue= 1_suppl | pages= S1-S42 | pmid=30798778 | doi=10.1177/0194599818801757 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30798778 }}</ref>
 
toothaches and pain in the throat
 
temporomandibular joint disorder (TMJ), a sore throat, mumps, tonsillitis, sinus infections, and ulcers in the oral cavity and the tongue
 
=== Truma ===
 
* Air travel<ref name="pmid25599243">{{cite journal| author=Wright T| title=Middle-ear pain and trauma during air travel. | journal=BMJ Clin Evid | year= 2015 | volume= 2015 | issue= | pages= | pmid=25599243 | doi= | pmc=4298289 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25599243 }}</ref>


*[[Common cause 2]]
*[[Common cause 2]]
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Revision as of 15:49, 10 August 2020


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[1]

Common Causes

Otitis externa (swimmer's ear)[2]

  • Pseudomonas.
  • Staph aureus.

Mechanical obstruction

  • Earwax
  • Foreign body

Otitis media[3][4]

  • Streptococcus pneumoniae
  • nontypable Haemophilus influenzae
  • Moraxella catarrhalis

Otitis media with effusion[3][5]

  • Enter into group child care(Amounts of time spent)
  • Exposure of smoking
  • Peroid of breastfeeding

Refered ear pain

Tonsillectomy[6]

FIRE: Focused Initial Rapid Evaluation

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.

References

  1. ↑ Earwood JS, Rogers TS, Rathjen NA (2018). "Ear Pain: Diagnosing Common and Uncommon Causes". Am Fam Physician. 97 (1): 20–27. PMID 29365233.
  2. ↑ Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA; et al. (2014). "Clinical practice guideline: acute otitis externa". Otolaryngol Head Neck Surg. 150 (1 Suppl): S1–S24. doi:10.1177/0194599813517083. PMID 24491310.
  3. ↑ 3.0 3.1 Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M (2014). "Update on otitis media - prevention and treatment". Infect Drug Resist. 7: 15–24. doi:10.2147/IDR.S39637. PMC 3894142. PMID 24453496.
  4. ↑ Leung AKC, Wong AHC (2017). "Acute Otitis Media in Children". Recent Pat Inflamm Allergy Drug Discov. 11 (1): 32–40. doi:10.2174/1874609810666170712145332. PMID 28707578.
  5. ↑ Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM (1993). "Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life". J Pediatr. 123 (5): 702–11. doi:10.1016/s0022-3476(05)80843-1. PMID 8229477.
  6. ↑ Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA; et al. (2019). "Clinical Practice Guideline: Tonsillectomy in Children (Update)". Otolaryngol Head Neck Surg. 160 (1_suppl): S1–S42. doi:10.1177/0194599818801757. PMID 30798778.


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