Ear36 - Viktor`s Notes for the Neurosurgery Resident
... 2. Low-frequency sensory HEARING LOSS – fluctuates (improving between attacks!!!) but progressively worsens over years. 3. TINNITUS (usually low-tone roaring) - constant or intermittent; may be worse before, after, or during vertigo attack. 4. AURAL FULLNESS (feeling of discomfort, fullness, pressur ...
... 2. Low-frequency sensory HEARING LOSS – fluctuates (improving between attacks!!!) but progressively worsens over years. 3. TINNITUS (usually low-tone roaring) - constant or intermittent; may be worse before, after, or during vertigo attack. 4. AURAL FULLNESS (feeling of discomfort, fullness, pressur ...
Ear Wax Management pathway
... Previous ear surgery, (apart from grommets that have come out at least 18 months before and patient discharged from ENT) or cleft palate (including when repaired) ...
... Previous ear surgery, (apart from grommets that have come out at least 18 months before and patient discharged from ENT) or cleft palate (including when repaired) ...
PART 22 - Mike South
... Sluggish or poor movement of the tympanic membrane detected using a pneumatic otoscope is a most important physical sign. The thicker the fluid, the less the ‘bounce’. In children old enough to perform a pure tone audiogram (Fig. 22.1.1) a mild to moderate conduction deafness will be detected. Imped ...
... Sluggish or poor movement of the tympanic membrane detected using a pneumatic otoscope is a most important physical sign. The thicker the fluid, the less the ‘bounce’. In children old enough to perform a pure tone audiogram (Fig. 22.1.1) a mild to moderate conduction deafness will be detected. Imped ...
Review - Antimicrobe.org
... Most cases (86–90%) have been frequent sites of cranial nerve involvement are the facial nerve as it exits through the stylomastoid the glossopharyngeal, the vagus, and the accessory nerves as they exit through the jugular reported in diabetic patients. foramen, foramen, and the hypoglossal nerve as ...
... Most cases (86–90%) have been frequent sites of cranial nerve involvement are the facial nerve as it exits through the stylomastoid the glossopharyngeal, the vagus, and the accessory nerves as they exit through the jugular reported in diabetic patients. foramen, foramen, and the hypoglossal nerve as ...
Ear Wax Removal Commissioning Policy Criteria Based Access
... 3. Cerumenolytic ear drops can be used to break up hard wax but patients may develop meatal irritation from the astringent qualities of these agents. This is particularly the case with older adults or people who suffer with dermatology conditions or recurrent otitis externa. 4. If a perforation is s ...
... 3. Cerumenolytic ear drops can be used to break up hard wax but patients may develop meatal irritation from the astringent qualities of these agents. This is particularly the case with older adults or people who suffer with dermatology conditions or recurrent otitis externa. 4. If a perforation is s ...
PHARYNGITIS
... infection. When group A beta-hemolytic streptococcus the most common bacterial organism, causes acute pharyngitis, the condition is known a strep throat . The body responds by triggering an inflammatory response in the pharynx. This results in pain, fever, vasodilation, edema, and tissue damage, man ...
... infection. When group A beta-hemolytic streptococcus the most common bacterial organism, causes acute pharyngitis, the condition is known a strep throat . The body responds by triggering an inflammatory response in the pharynx. This results in pain, fever, vasodilation, edema, and tissue damage, man ...
Lecture Notes
... 2. The mother of a 2-year-old girl is concerned about complications of untreated otitis media. The physician tells her that untreated otitis media may lead to a ruptured tympanic membrane or degeneration of the bones of the middle ear, resulting in permanent hearing loss. The mastoid process may als ...
... 2. The mother of a 2-year-old girl is concerned about complications of untreated otitis media. The physician tells her that untreated otitis media may lead to a ruptured tympanic membrane or degeneration of the bones of the middle ear, resulting in permanent hearing loss. The mastoid process may als ...
Otitis media
Otitis media is a group of inflammatory diseases of the middle ear. The two main types are acute otitis media (AOM) and otitis media with effusion (OME). AOM is an infection of abrupt onset that usually presents with ear pain. In young children this may result in pulling at the ear, increased crying, and poor sleep. Decreased eating and a fever may also be present. OME is typically not associated with symptoms. Occasionally a feeling of fullness is described. It is defined as the presence of non-infectious fluid in the middle ear for more than three months. Chronic suppurative otitis media (CSOM) is middle ear inflammation of greater than two weeks that results in episodes of discharge from the ear. It may be a complication of acute otitis media. Pain is rarely present. All three may be associated with hearing loss. The hearing loss in OME, due to its chronic nature, may affect a child's ability to learn.The cause of AOM is related to childhood anatomy and immune function. Either bacteria or viruses may be involved. Risk factors include: exposure to smoke, use of pacifiers, and attending daycare. It occurs more commonly in those who are Native American or who have Down syndrome. OME frequently occurs following AOM but may also be related to viral upper respiratory infections, irritants such as smoke, or allergies. Looking at the eardrum is important for making the correct diagnosis. Signs of AOM include bulging or a lack of movement of the tympanic membrane from a puff of air. New discharge not related to otitis externa also indicates the diagnosis.A number of measures decrease the risk of otitis media including: pneumococcal and influenza vaccination, exclusive breastfeeding for the first six months of life, and avoiding tobacco smoke. In those with otitis media with effusion antibiotics do not generally speed recovery. The use of pain medications for AOM is important. This may include: paracetamol (acetaminophen), ibuprofen, benzocaine ear drops, or opioids. In AOM, antibiotics may speed recovery but may result in side effects. Antibiotics are often recommended in those with severe disease or under two years old. In those with less severe disease they may only be recommended in those who do not improve after two or three days. The initial antibiotic of choice is typically amoxicillin. In those with frequent infections tympanostomy tubes may decrease recurrence.Worldwide AOM affect about 11% of people a year (about 710 million cases). Half the cases involve children less than five years of age and it is more common among males. Of those affected about 4.8% or 31 million develop chronic suppurative otitis media. Before the age of ten OME affects about 80% of children at some point in time. Otitis media resulted in 2,400 deaths in 2013 – down from 4,900 deaths in 1990.