Mastoiditis history and symptoms: Difference between revisions
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Obtaining the history is a very important aspect of making a diagnosis of mastoiditis. It provides insight into cause, precipitating factors and associated comorbid conditions. | Obtaining the history is a very important aspect of making a diagnosis of mastoiditis. It provides insight into cause, precipitating factors and associated comorbid conditions. | ||
History taking should be considering below items:<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> | History taking should be considering below items:<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> | ||
* Onset, duration and progression of symptoms | * Onset, duration and progression of symptoms | ||
* [[Allergies]] | * [[Allergies]] | ||
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* [[Upper respiratory tract infection]] | * [[Upper respiratory tract infection]] | ||
* Associated symptoms(otalgia, [[fever]], [[confusion]]) | * Associated symptoms(otalgia, [[fever]], [[confusion]]) | ||
* Medications | * Medications, include antibiotic usage in acute otitis media | ||
* [[Snoring]] | * [[Snoring]] | ||
* Attendance to day care | * Attendance to day care | ||
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* Social status | * Social status | ||
== Common Symptoms == | |||
Lethargy/malaise (96 percent) | |||
Abnormal tympanic membrane (82 percent) | |||
Postauricular erythema, postauricular tenderness, and/or protrusion of the pinna (80 percent) | |||
Fever (76 percent) | |||
Narrowing of the external auditory canal (71 percent) | |||
Ear pain (67 percent) | |||
Otorrhea (50 percent) | |||
== Less Common Symptoms[edit | edit source] == | == Less Common Symptoms[edit | edit source] == | ||
Revision as of 15:55, 27 June 2017
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Mastoiditis Microchapters |
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Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
History and symptoms of mastoiditis ranges from not symptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications.
History
Obtaining the history is a very important aspect of making a diagnosis of mastoiditis. It provides insight into cause, precipitating factors and associated comorbid conditions.
History taking should be considering below items:[1][2][3]
- Onset, duration and progression of symptoms
- Allergies
- Previous history of acute otitis media
- Upper respiratory tract infection
- Associated symptoms(otalgia, fever, confusion)
- Medications, include antibiotic usage in acute otitis media
- Snoring
- Attendance to day care
- History of Trauma
- Co-morbid conditions like diabetes, immunodeficiency
- Smoking: contributes to fluid buildup and blockage in the eustachian tube
- Mother smoking during pregnancy
- Occupations involving exposure to air pollution.
- Social status
Common Symptoms
Lethargy/malaise (96 percent)
Abnormal tympanic membrane (82 percent)
Postauricular erythema, postauricular tenderness, and/or protrusion of the pinna (80 percent)
Fever (76 percent)
Narrowing of the external auditory canal (71 percent)
Ear pain (67 percent)
Otorrhea (50 percent)
Less Common Symptoms[edit | edit source]
- In this section you can list the less common symptoms that the patient may experience.
- For an example of the the less common symptoms section within a history and symptoms
Some common symptoms and signs of mastoiditis include pain and tenderness in the mastoid region, as well as swelling. There may be ear pain (otalgia), and the ear or mastoid region may be red (erythematous). Fever or headaches may also be present. Infants usually show nonspecific symptoms, such as anorexia, diarrhea, or irritability. Drainage from the ear occurs in more serious cases.
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.
- ↑ 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.