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 | History taking should be considering below items* Onset, duration and progression of symptoms | ||
* Onset, duration and progression of symptoms | |||
* [[Allergies]] | * [[Allergies]] | ||
* Previous history of [[acute otitis media]] | * Previous history of [[acute otitis media]] | ||
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* Mother [[smoking]] during pregnancy | * Mother [[smoking]] during pregnancy | ||
* Occupations involving exposure to air pollution. | * Occupations involving exposure to air pollution. | ||
* Social status | * Social status:<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> | ||
== Common Symptoms == | == Common Symptoms == | ||
Common symptoms of mastoiditis are | Common symptoms of mastoiditis are* [[Ear pain]] | ||
* [[Ear pain]] | |||
* fever | * fever | ||
* Feeling of "fullness" in the ear. | * Feeling of "fullness" in the ear. | ||
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* headache | * headache | ||
* Lethargy/malaise | * Lethargy/malaise | ||
* [[Neurological]] symptoms from chronic mastoiditis and otitis media with effusion: | * [[Neurological]] symptoms from chronic mastoiditis and otitis media with effusion: | ||
** Poor attention span. | ** Poor attention span. | ||
** Delayed speech development. | ** Delayed speech development. | ||
** Clumsiness. | ** Clumsiness. | ||
** Poor balance | ** Poor balance:<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> | ||
== Less Common Symptoms == | == Less Common Symptoms == | ||
* Gastrointestinal symptoms such as vomiting and diarrhea | |||
* meningismus | |||
* torticulis<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> | |||
==References== | ==References== | ||
Revision as of 17:12, 27 June 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:
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* 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:[1][2][3]
Common Symptoms
Common symptoms of mastoiditis are* Ear pain
- fever
- Feeling of "fullness" in the ear.
- Recent episode of acute otitis media
- Fluid discharge in the ear
- Partial loss of hearing
- Irritability (in infants)
- headache
- Lethargy/malaise
- Neurological symptoms from chronic mastoiditis and otitis media with effusion:
- Poor attention span.
- Delayed speech development.
- Clumsiness.
- Poor balance:[3]
Less Common Symptoms
- Gastrointestinal symptoms such as vomiting and diarrhea
- meningismus
- torticulis[3]
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.