Differentiating mastoiditis from other diseases: Difference between revisions

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==Overview==
==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==
==Differentiating Mastoiditis from other Diseases==
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{| class="wikitable"
{| class="wikitable"
!Disease
!Disease
!Findings
!History and symptoms
!Physical examinations
!laboratory findings
|-
|-
|Mastoiditis
|Mastoiditis
|Posterior ear pain, local erythema and tenderness and edema on the mastoid bone, outward and upward displaced auricle, abnormal tympanic membrane
|History of otitis media, Posterior ear pain  
|local erythema and tenderness and edema on the mastoid bone, outward and upward displaced auricle, abnormal tympanic membrane
|
|-
|-
|Lymphadenopathy
|Lymphadenopathy
|Well defined and mobile mass, no effect on auricle and tympanic mass
|Well defined and mobile mass, no effect on auricle and tympanic mass
|
|
|-
|-
|Periauricular inflammation or cellulitis
|Periauricular inflammation or cellulitis
|Tympanic membrane is normal. Mostly due to a skin minor trauma.
|Tympanic membrane is normal. Mostly due to a skin minor trauma.
|
|
|-
|-
|Perichondritis of the auricle
|Perichondritis of the auricle
|Sswelling and erythema of the pinan. the postauricular crease is preserved, and the tympanic membrane appears normal.
|Sswelling and erythema of the pinan. the postauricular crease is preserved, and the tympanic membrane appears normal.
|
|
|-
|-
|mumps
|mumps
|Parotid glands swelling, tympanic membrane is normal
|Parotid glands swelling, tympanic membrane is normal
|
|
|-
|-
|Mastoid tumors
|Mastoid tumors
|Tympanic membrane is normal
|Tympanic membrane is normal
|
|
|}
|}



Revision as of 15:18, 30 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

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]

Disease History and symptoms Physical examinations laboratory findings
Mastoiditis History of otitis media, Posterior ear pain local erythema and tenderness and edema on the mastoid bone, outward and upward displaced auricle, abnormal tympanic membrane
Lymphadenopathy Well defined and mobile mass, no effect on auricle and tympanic mass
Periauricular inflammation or cellulitis Tympanic membrane is normal. Mostly due to a skin minor trauma.
Perichondritis of the auricle Sswelling and erythema of the pinan. the postauricular crease is preserved, and the tympanic membrane appears normal.
mumps Parotid glands swelling, tympanic membrane is normal
Mastoid tumors Tympanic membrane is normal

References

  1. Bluestone CD (2000). "Clinical course, complications and sequelae of acute otitis media". Pediatr. Infect. Dis. J. 19 (5 Suppl): S37–46. PMID 10821471.

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