Otitis externa history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Otitis externa}}
{{Otitis externa}}
{{CMG}}
{{CMG}} {{AE}} {{LRO}}


==History and Symptoms==
==Overview==
[[Pain]] is the predominant complaint and the only symptom directly related to the severity of acute external otitis. Unlike other forms of ear infections, the pain of acute external otitis is worsened when the outer ear is touched or pulled gently. Pushing the tragus (that tab-like portion of the [[Pinna|auricle]] that projects out just in front of the ear canal opening) so typically causes pain in this condition as to be diagnostic of external otitis on physical examination. Patients may also experience ear discharge and itchiness. When enough swelling and discharge in the ear canal is present to block the opening, external otitis may cause temporary conductive hearing loss.
Symptoms for all forms of otitis externa are primarily [[otalgia|pain]], [[itching]], and [[swelling]] of the [[ear canal]]. Symptoms of chronic, recurrent otitis externa include lack of [[earwax]] and buildup of dead skin causing [[stenosis|narrowing of the ear canal]]. Symptoms of malignant necrotizing otitis externa include severe [[ear pain]], facial [[paralysis]], [[Difficulty opening mouth|difficulty opening mouth]], and [[difficulty swallowing]]. History of [[allergies]], aquatic-based occupations, or exposure to sources of [[immunocompromise]], including [[chemotherapy]] and [[diabetes mellitus]] should be considered in otitis externa patients.  


Due to the fact that the ear and throat are often interconnected, irritation (whether it be in inflammation or a scratching sensation) is normal. However, excessive throat symptoms may likely point to the throat as the cause of the pain in the ear rather than the other way around.
==History==
*History of [[allergies]] should be considered for [[dermatitis]] caused otitis externa.<ref name="RosenfeldBrown2006">{{cite journal|last1=Rosenfeld|first1=R|last2=Brown|first2=L|last3=Cannon|first3=C|last4=Dolor|first4=R|last5=Ganiats|first5=T|last6=Hannley|first6=M|last7=Kokemueller|first7=P|last8=Marcy|first8=S|last9=Roland|first9=P|last10=Shiffman|first10=R|title=Clinical practice guideline: Acute otitis externa|journal=Otolaryngology - Head and Neck Surgery|volume=134|issue=4|year=2006|pages=S4–S23|issn=01945998|doi=10.1016/j.otohns.2006.02.014}}</ref>
*History of an occupation involving swimming, scuba-diving, or surfing should be considered.
*Sources of [[immunocompromise]] in a patient history should be considered for malignant otitis externa:
**[[Chemotherapy]]
**[[Diabetes mellitus]]


Because the symptoms of external otitis promote many people to attempt to clean out the ear canal (or scratch it) with slim implements, and self-cleaning attempts generally lead to additional trauma of the injured skin, rapid worsening of the condition often occurs. Worsening is also common in the vacationer who continues holiday swimming despite symptoms of mild external otitis.
==Symptoms==
Symptoms of acute otitis externa include the following:<ref name="urlOtitis externa - Symptoms - NHS Choices">{{cite web |url=http://www.nhs.uk/conditions/Otitis-externa/pages/symptoms.aspx |title=Otitis externa - Symptoms - NHS Choices |format= |work= |accessdate=}}</ref>
*[[Ear pain]]
*[[Itching]] of the [[ear canal]]
*[[Swelling]] of the ear canal
*[[Redness]] of the ear canal
*[[Pressure]] inside the ear
*[[Discharge]]
*[[Pain]] in the jaw when in motion
*Partial [[hearing loss]]
*Swollen [[lymph nodes]]
*[[Scaling skin|Scaley skin]] in the ear canal
Symptoms of chronic, recurrent otitis externa include the following:<ref name="pmid24491310">{{cite journal |vauthors=Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ |title=Clinical practice guideline: acute otitis externa |journal=Otolaryngol Head Neck Surg |volume=150 |issue=1 Suppl |pages=S1–S24 |year=2014 |pmid=24491310 |doi=10.1177/0194599813517083 |url=}}</ref>
*Persistent [[itching]] of the ear
*Lack of [[earwax]]
*Buildup of dead skin causing [[stenosis|narrowing of the ear canal]]
Symptoms of malignant necrotizing otitis externa include the following:<ref name="pmid12892351">{{cite journal |vauthors=Handzel O, Halperin D |title=Necrotizing (malignant) external otitis |journal=Am Fam Physician |volume=68 |issue=2 |pages=309–12 |year=2003 |pmid=12892351 |doi= |url=}}</ref>
*Severe [[ear pain]]
*Facial [[paralysis]]
*[[Difficulty opening mouth]]
*[[Difficulty swallowing]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs overview]]
[[Category:Primary care]]
[[Category:Primary care]]
[[Category:Disease]]
[[Category:Disease]]
Line 20: Line 44:
[[Category:Pediatrics]]
[[Category:Pediatrics]]
{{WH}}
{{WH}}
{{WS}}

Revision as of 16:23, 17 May 2016

Otitis externa Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Otitis Externa from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

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

Case #1

Otitis externa history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Otitis externa history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onOtitis externa history and symptoms

CDC on Otitis externa history and symptoms

externa history and symptoms in the news

on Otitis externa history and symptoms

Directions to Hospitals Treating Otitis externa

Risk calculators and risk factors for Otitis externa history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Symptoms for all forms of otitis externa are primarily pain, itching, and swelling of the ear canal. Symptoms of chronic, recurrent otitis externa include lack of earwax and buildup of dead skin causing narrowing of the ear canal. Symptoms of malignant necrotizing otitis externa include severe ear pain, facial paralysis, difficulty opening mouth, and difficulty swallowing. History of allergies, aquatic-based occupations, or exposure to sources of immunocompromise, including chemotherapy and diabetes mellitus should be considered in otitis externa patients.

History

Symptoms

Symptoms of acute otitis externa include the following:[2]

Symptoms of chronic, recurrent otitis externa include the following:[3]

Symptoms of malignant necrotizing otitis externa include the following:[4]

References

  1. ↑ Rosenfeld, R; Brown, L; Cannon, C; Dolor, R; Ganiats, T; Hannley, M; Kokemueller, P; Marcy, S; Roland, P; Shiffman, R (2006). "Clinical practice guideline: Acute otitis externa". Otolaryngology - Head and Neck Surgery. 134 (4): S4–S23. doi:10.1016/j.otohns.2006.02.014. ISSN 0194-5998.
  2. ↑ "Otitis externa - Symptoms - NHS Choices".
  3. ↑ Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ (2014). "Clinical practice guideline: acute otitis externa". Otolaryngol Head Neck Surg. 150 (1 Suppl): S1–S24. doi:10.1177/0194599813517083. PMID 24491310.
  4. ↑ Handzel O, Halperin D (2003). "Necrotizing (malignant) external otitis". Am Fam Physician. 68 (2): 309–12. PMID 12892351.

Template:WH

Retrieved from "https://www.wikidoc.org/index.php?title=Otitis_externa_history_and_symptoms&oldid=1233038"