Otalgia physical examination: Difference between revisions

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==Ear examination in Otalgia==
==Ear examination in Otalgia==
* In Acute [[Otitis media]] the tympanic membrane is red and bulging outwards
* Abnormal ear examination
* In [[Otitis externa]] (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus
** In Acute [[Otitis media]] the tympanic membrane is red and bulging outwards
* Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children.
** In [[Otitis externa]] (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus
* In [[Barotrauma]] which occurs  while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing [[Eustachian tube ]] dysfunction.
** Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children.
 
** In [[Barotrauma]] which occurs  while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing [[Eustachian tube ]] dysfunction.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


==References==
==References==

Revision as of 19:02, 1 July 2012

Otalgia Microchapters

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Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating otalgia from other diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

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Primary Prevention

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Directions to Hospitals Treating Otalgia

Risk calculators and risk factors for Otalgia physical examination

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

Overview

Otalgia is one of the leading complaints in the pediatric age group. Otitis media, Otitis externa, Ear trauma are among the leading causes of ear pain. When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal.

Otalgia Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating otalgia from other diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Otalgia physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Otalgia physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Otalgia physical examination

CDC on Otalgia physical examination

Otalgia physical examination in the news

Blogs on Otalgia physical examination

Directions to Hospitals Treating Otalgia

Risk calculators and risk factors for Otalgia physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S [4]


Physical examination

The physical examination should include an exhaustive otologic, neuro-otologic, head, and neck examination. Mandatory examinations should include:

  • Rhinoscopy
  • Nasopharyngoscopy
  • Indirect Laryngoscopy

Sinuses should be evaluated for any Sinusitis. Palpation of the neck is important to look for thyroid disease, adenopathy, and musculoskeletal disorders. Some studies have shown a well known association of ear pain and malignant upper aerodigestive tract tumors. SO in case of failure to establish an accurate diagnosis a tumor should be suspected and work-up for it should be started.

Ear examination in Otalgia

  • Abnormal ear examination
    • In Acute Otitis media the tympanic membrane is red and bulging outwards
    • In Otitis externa (swimmer's ear) the ear canal is red and swollen. Small debris can be seen in the ear canal or covering the tympanic membrane. There is pain when ones pulls on the auricle or presses on the tragus
    • Foreign bodies like small beads, lead balls, paper, insects etc., can be seen in the ear canal especially in children.
    • In Barotrauma which occurs while scuba diving or during an airplane flight with the onset of pain during descent the tympanic membrane is typically hemorrhagic, and there may be blood or serous fluid in the middle ear. Upper respiratory infections and allergic rhinitis increase the risk of acute barotrauma by causing Eustachian tube dysfunction.

References


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References


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