Differentiating mastoiditis from other diseases: Difference between revisions

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{{Mastoiditis}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Mastoiditis]]


{{CMG}}; {{AE}}{{MJ}}
{{CMG}}; {{AE}}{{MJ}}


==Overview==
==Overview==
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as [[lymphadenopathy]], periauricular [[cellulitis]], auricle perichondritis, [[mumps]] and [[mastoid]] [[tumors]]. These diseases may be distinguished from mastoiditis via clinical finding and laboratory testing.
Mastoiditis must be differentiated from other diseases that cause postauricular [[inflammation]] or [[swelling]] such as [[lymphadenopathy]], periauricular [[cellulitis]], [[auricle]] perichondritis, [[mumps]], and [[mastoid]] [[tumors]]. These diseases may be distinguished from mastoiditis via clinical findings and laboratory testing.


==Differentiating Mastoiditis from other Diseases==
==Differentiating Mastoiditis from other Diseases==
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.<ref name="pmid10821471">{{cite journal |vauthors=Bluestone CD |title=Clinical course, complications and sequelae of acute otitis media |journal=Pediatr. Infect. Dis. J. |volume=19 |issue=5 Suppl |pages=S37–46 |year=2000 |pmid=10821471 |doi= |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid25587371">{{cite journal |vauthors=Minovi A, Dazert S |title=Diseases of the middle ear in childhood |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc11 |year=2014 |pmid=25587371 |pmc=4273172 |doi=10.3205/cto000114 |url=}}</ref>
Mastoiditis must be differentiated from other diseases that cause postauricular [[inflammation]] or [[swelling]].<ref name="pmid10821471">{{cite journal |vauthors=Bluestone CD |title=Clinical course, complications and sequelae of acute otitis media |journal=Pediatr. Infect. Dis. J. |volume=19 |issue=5 Suppl |pages=S37–46 |year=2000 |pmid=10821471 |doi= |url=}}</ref><ref name="pmid18617870">{{cite journal |vauthors=van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG |title=A systematic review of diagnostic criteria for acute mastoiditis in children |journal=Otol. Neurotol. |volume=29 |issue=6 |pages=751–7 |year=2008 |pmid=18617870 |doi=10.1097/MAO.0b013e31817f736b |url=}}</ref><ref name="pmid25587371">{{cite journal |vauthors=Minovi A, Dazert S |title=Diseases of the middle ear in childhood |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc11 |year=2014 |pmid=25587371 |pmc=4273172 |doi=10.3205/cto000114 |url=}}</ref>


{| class="wikitable"
{| class="wikitable"
!Disease
! rowspan="2" |Disease
! colspan="2" |Clinical findings
! rowspan="2" |Laboratory findings
|-
!History and symptoms
!History and symptoms
!Physical examinations
!Physical examinations
!laboratory findings
|-
|-
|Mastoiditis
|Mastoiditis
|History of otitis media, Posterior ear pain  
|
|Local erythema and tenderness and edema on the mastoid bone, outward and upward displaced auricle, abnormal tympanic membrane
*History of [[otitis media]]
|Leukocytosis and high sediment rate may be presents
*Posterior [[Otalgia|ear pain]]
|
*Local [[erythema]] and [[tenderness]] and [[edema]] on the [[mastoid bone]]
*Outward and upward displaced [[auricle]]
*Abnormal [[tympanic membrane]]
|
*[[Leukocytosis]]
*High [[erythrocyte sedimentation rate]] may be present
|-
|-
|Lymphadenopathy
|Enlarged [[lymph node]]
|Well defined and mobile mass,
|
|No effect on auricle and tympanic mass
*Well defined and mobile mass
|Leukocytosis and high sediment rate may be presents or may be normal
*No [[inflammatory]] signs
|
* No effect on [[auricle]] and [[tympanic membrane]]
|
*[[Leukocytosis]] may be present
*High [[erythrocyte sedimentation rate]] may be presented or may be normal
|-
|-
|Periauricular inflammation or cellulitis
|Periauricular [[cellulitis]]
|History of a minor bite or minor trauma, commonly exists. Pain and Redness in the site.
|
|Tympanic membrane is normal.
* History of a minor [[bite]] or minor [[trauma]] commonly exists  
|Leukocytosis and high sediment rate may be presents
* [[Pain]] and [[redness]] in the site
|
* [[Tympanic membrane]] is normal.
|
*[[Leukocytosis]] may be present
*High [[erythrocyte sedimentation rate]] may be present
|-
|-
|Perichondritis of the auricle
|Perichondritis of the [[auricle]]
|Swelling and erythema of the pinna.
|
|The postauricular crease is preserved, and the tympanic membrane appears normal.
* [[Swelling]] and [[erythema]] of the [[pinna]]
|leukocytosis and high sediment rate may be presents
|
*The postauricular crease is preserved  
*The [[tympanic membrane]] appears normal.
|
*[[Leukocytosis]] may be present
 
* High [[erythrocyte sedimentation rate]] may be present
|-
|-
|mumps
|[[Mumps]]
|Parotid glands swelling, pain presents
|
|Tympanic membrane is normal
*[[Parotid glands]] [[swelling]]
|Mild leukocytosis may be presents
*[[Inflammation]] and [[pain]] present
|
* [[Tympanic membrane]] is normal
|
* Mild [[leukocytosis]] may be present
|-
|-
|Mastoid tumors
|Mastoid [[tumors]]
|Painless mass  
|
|Tympanic membrane is normal
*Painless mass
|Normal white blood cell count, normal ESR
*No [[inflammation]]
|
* [[Tympanic membrane]] is normal
|
*Normal [[white blood cell]] count  
*Normal [[erythrocyte sedimentation rate]]
|}
|}


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{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Otolaryngology]]
[[Category:Surgery]]

Latest revision as of 21:23, 29 July 2020

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

Overview

Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as lymphadenopathy, periauricular cellulitis, auricle perichondritis, mumps, and mastoid tumors. These diseases may be distinguished from mastoiditis via clinical findings and laboratory testing.

Differentiating Mastoiditis from other Diseases

Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.[1][2][3]

Disease Clinical findings Laboratory findings
History and symptoms Physical examinations
Mastoiditis
Enlarged lymph node
Periauricular cellulitis
Perichondritis of the auricle
Mumps
Mastoid tumors

References

  1. ↑ Bluestone CD (2000). "Clinical course, complications and sequelae of acute otitis media". Pediatr. Infect. Dis. J. 19 (5 Suppl): S37–46. PMID 10821471.
  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.
  3. ↑ Minovi A, Dazert S (2014). "Diseases of the middle ear in childhood". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc11. doi:10.3205/cto000114. PMC 4273172. PMID 25587371.

Template:WH Template:WS

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