Ear pain resident survival guide: Difference between revisions
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==Overview== | ==Overview== | ||
[[Ear pain]] or [[otalgia]] maybe it is the pain that originates outside the ear or pain that originates from the ear and the etiology can be difficult to establish because of the complex innervation of the ear<ref name="pmid17504363">{{cite journal| author=Charlett SD, Coatesworth AP| title=Referred otalgia: a structured approach to diagnosis and treatment. | journal=Int J Clin Pract | year= 2007 | volume= 61 | issue= 6 | pages= 1015-21 | pmid=17504363 | doi=10.1111/j.1742-1241.2006.00932.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17504363 }} </ref>.[[otalgia]] classified as primary which originated from the ear, and secondary which originated outside the ear<ref name="pmid29365233">{{cite journal| author=Earwood JS, Rogers TS, Rathjen NA| title=Ear Pain: Diagnosing Common and Uncommon Causes. | journal=Am Fam Physician | year= 2018 | volume= 97 | issue= 1 | pages= 20-27 | pmid=29365233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29365233 }} </ref>. When the ear examination is abnormal, the source of the pain from the ear (primary otalgia). When the ear examination is typically normal, the source of the pain is not the ear(secondary otalgia). Secondary otalgia cause is often difficult to determine because the innervation of the ear is complex | [[Ear pain]] or [[otalgia]] maybe it is the pain that originates outside the ear or pain that originates from the ear and the etiology can be difficult to establish because of the complex innervation of the ear<ref name="pmid17504363">{{cite journal| author=Charlett SD, Coatesworth AP| title=Referred otalgia: a structured approach to diagnosis and treatment. | journal=Int J Clin Pract | year= 2007 | volume= 61 | issue= 6 | pages= 1015-21 | pmid=17504363 | doi=10.1111/j.1742-1241.2006.00932.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17504363 }} </ref>.[[otalgia]] classified as primary which originated from the ear, and secondary which originated outside the ear<ref name="pmid29365233">{{cite journal| author=Earwood JS, Rogers TS, Rathjen NA| title=Ear Pain: Diagnosing Common and Uncommon Causes. | journal=Am Fam Physician | year= 2018 | volume= 97 | issue= 1 | pages= 20-27 | pmid=29365233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29365233 }} </ref>. When the ear examination is abnormal, the source of the pain from the ear (primary otalgia). When the ear examination is typically normal, the source of the pain is not the ear(secondary otalgia). Secondary otalgia (referred pain) cause is often difficult to determine because the innervation of the ear is complex .<ref name="pmid29365233">{{cite journal| author=Earwood JS, Rogers TS, Rathjen NA| title=Ear Pain: Diagnosing Common and Uncommon Causes. | journal=Am Fam Physician | year= 2018 | volume= 97 | issue= 1 | pages= 20-27 | pmid=29365233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29365233 }} </ref> | ||
Revision as of 13:44, 25 September 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Ear pain or otalgia maybe it is the pain that originates outside the ear or pain that originates from the ear and the etiology can be difficult to establish because of the complex innervation of the ear[1].otalgia classified as primary which originated from the ear, and secondary which originated outside the ear[2]. When the ear examination is abnormal, the source of the pain from the ear (primary otalgia). When the ear examination is typically normal, the source of the pain is not the ear(secondary otalgia). Secondary otalgia (referred pain) cause is often difficult to determine because the innervation of the ear is complex .[2]
Causes
Life Threatening Causes
Otalgia is not life-threatening, but there are some characteristics that make a serious diagnosis more likely in patients with otalgia. As patients who are 50 years or older, have coronary artery disease, have diabetes, or are immunocompromised are at higher risk. In addition, patients who smoke, drink alcohol, or lose weight unintentionally should undergo more scrutiny.Otalgia may also be the first sign of:-
- temporal arteritis
- Myocardial infarction
- Thoracic aneurysms
- subdural hematoma
- lung cancer
- central line placement
- carotid artery aneurysm
- Pott puffy tumor
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
- ↑ Charlett SD, Coatesworth AP (2007). "Referred otalgia: a structured approach to diagnosis and treatment". Int J Clin Pract. 61 (6): 1015–21. doi:10.1111/j.1742-1241.2006.00932.x. PMID 17504363.
- ↑ 2.0 2.1 Earwood JS, Rogers TS, Rathjen NA (2018). "Ear Pain: Diagnosing Common and Uncommon Causes". Am Fam Physician. 97 (1): 20–27. PMID 29365233.