Mastoiditis physical examination: Difference between revisions
No edit summary |
|||
| Line 7: | Line 7: | ||
==Physical Examination== | ==Physical Examination== | ||
Patients with mastoiditis may present with some or all of the following signs::<ref name="pmid24466073">{{cite journal |vauthors=Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY |title=Risk factors for chronic and recurrent otitis media-a meta-analysis |journal=PLoS ONE |volume=9 |issue=1 |pages=e86397 |year=2014 |pmid=24466073 |pmc=3900534 |doi=10.1371/journal.pone.0086397 |url=}}</ref><ref name="pmid6877011">{{cite journal |vauthors=Holt GR, Gates GA |title=Masked mastoiditis |journal=Laryngoscope |volume=93 |issue=8 |pages=1034–7 |year=1983 |pmid=6877011 |doi= |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref> | |||
=== Appearance of the Patient === | === Appearance of the Patient === | ||
Revision as of 17:42, 27 June 2017
|
Mastoiditis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical Examination
Patients with mastoiditis may present with some or all of the following signs::[1][2][3][3][3]
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:
- Erythema, edema and discharge present on otoscopy
- Reduced hearing
- Children may show signs of "tugging" on the affected ear
Throat/Oral
Patients with mastoiditis may present with signs which are suggestive of oral, pharyngeal, or upper respiratory tract infections:
- Erythematous oropharynx
- Exudative tonsils
- Dental caries
- Tooth abscess
Neck
Patients with mastoiditis may present with tender cervical lymph nodes, which are suggestive of regional infection.
References
- ↑ Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY (2014). "Risk factors for chronic and recurrent otitis media-a meta-analysis". PLoS ONE. 9 (1): e86397. doi:10.1371/journal.pone.0086397. PMC 3900534. PMID 24466073.
- ↑ Holt GR, Gates GA (1983). "Masked mastoiditis". Laryngoscope. 93 (8): 1034–7. PMID 6877011.
- ↑ 3.0 3.1 3.2 van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG (2008). "A systematic review of diagnostic criteria for acute mastoiditis in children". Otol. Neurotol. 29 (6): 751–7. doi:10.1097/MAO.0b013e31817f736b. PMID 18617870.