Mastoiditis history and symptoms

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Mastoiditis Microchapters

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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

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Treatment

Medical Therapy

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]

Overview

History and symptoms of mastoiditis ranges from non-symptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications. History taking should be considering 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. 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 and poor balance. Less Common Symptoms are: gastrointestinal symptoms such as vomiting and diarrhea, meningismus, torticollis.

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

Common Symptoms

Common symptoms of mastoiditis are:

Less Common Symptoms

Less common mastoiditis symptoms are:

References

  1. 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.
  2. Holt GR, Gates GA (1983). "Masked mastoiditis". Laryngoscope. 93 (8): 1034–7. PMID 6877011.
  3. 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.

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