Differentiating mastoiditis from other diseases: Difference between revisions
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| Line 28: | Line 28: | ||
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*[[Leukocytosis]] | *[[Leukocytosis]] | ||
*High [[erythrocyte sedimentation rate]] may be | *High [[erythrocyte sedimentation rate]] may be present | ||
|- | |- | ||
|Enlarged [[lymph node]] | |Enlarged [[lymph node]] | ||
| Line 36: | Line 36: | ||
|No effect on [[auricle]] and [[tympanic membrane]] | |No effect on [[auricle]] and [[tympanic membrane]] | ||
| | | | ||
*[[Leukocytosis]] may be | *[[Leukocytosis]] may be present | ||
*High [[erythrocyte sedimentation rate]] may be presented or may be normal | *High [[erythrocyte sedimentation rate]] may be presented or may be normal | ||
|- | |- | ||
|Periauricular [[cellulitis]] | |Periauricular [[cellulitis]] | ||
| | | | ||
* History of a minor [[bite]] or minor [[trauma]] commonly exists | * History of a minor [[bite]] or minor [[trauma]] commonly exists | ||
* [[Pain]] and | * [[Pain]] and [[redness]] in the site | ||
|[[Tympanic membrane]] is normal. | |[[Tympanic membrane]] is normal. | ||
| | | | ||
*[[Leukocytosis]] may be | *[[Leukocytosis]] may be present | ||
*High [[erythrocyte sedimentation rate]] may be presents | *High [[erythrocyte sedimentation rate]] may be presents | ||
|- | |- | ||
|Perichondritis of the [[auricle]] | |Perichondritis of the [[auricle]] | ||
|[[Swelling]] and [[erythema]] of the [[pinna]] | |[[Swelling]] and [[erythema]] of the [[pinna]] | ||
| | | | ||
*The postauricular crease is preserved | *The postauricular crease is preserved | ||
*The [[tympanic membrane]] appears normal. | *The [[tympanic membrane]] appears normal. | ||
| | | | ||
*[[Leukocytosis]] may be | *[[Leukocytosis]] may be present | ||
*High [[erythrocyte sedimentation rate]] may be presents | *High [[erythrocyte sedimentation rate]] may be presents | ||
|- | |- | ||
| Line 60: | Line 60: | ||
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*[[Parotid glands]] [[swelling]] | *[[Parotid glands]] [[swelling]] | ||
*[[Inflammation]] | *[[Inflammation]] and [[pain]] present | ||
|[[Tympanic membrane]] is normal | |[[Tympanic membrane]] is normal | ||
|Mild [[leukocytosis]] may be | |Mild [[leukocytosis]] may be present | ||
|- | |- | ||
|Mastoid [[tumors]] | |Mastoid [[tumors]] | ||
Revision as of 19:20, 25 July 2017
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Mastoiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as lymphadenopathy, periauricular cellulitis, auricle perichondritis, mumps and mastoid tumors. These diseases may be distinguished from mastoiditis via clinical finding and laboratory testing.
Differentiating Mastoiditis from other Diseases
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.[1][2][3]
| Disease | Clinical findings | laboratory findings | |
|---|---|---|---|
| History and symptoms | Physical examinations | ||
| Mastoiditis |
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|
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| Enlarged lymph node |
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No effect on auricle and tympanic membrane |
|
| Periauricular cellulitis | Tympanic membrane is normal. |
| |
| Perichondritis of the auricle | Swelling and erythema of the pinna |
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|
| Mumps |
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Tympanic membrane is normal | Mild leukocytosis may be present |
| Mastoid tumors |
|
Tympanic membrane is normal |
|
References
- ↑ Bluestone CD (2000). "Clinical course, complications and sequelae of acute otitis media". Pediatr. Infect. Dis. J. 19 (5 Suppl): S37–46. PMID 10821471.
- ↑ 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.
- ↑ Minovi A, Dazert S (2014). "Diseases of the middle ear in childhood". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc11. doi:10.3205/cto000114. PMC 4273172. PMID 25587371.