Mastoiditis history and symptoms
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Mastoiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
History and symptoms of mastoiditis ranges from not symptomatic disease to symptomatic and progressive mastoiditis with serious life-threatening complications.
History
Obtaining the history is a very important aspect of making a diagnosis of mastoiditis. It provides insight into cause, precipitating factors and associated comorbid conditions.
History taking should be considering below items:
- Onset, duration and progression of symptoms
- Allergies
- Previous history of acute otitis media
- Upper respiratory tract infection
- Associated symptoms(otalgia, fever, confusion)
- Medications, include antibiotic usage in acute otitis media
- Snoring
- Attendance to day care
- History of Trauma
- Co-morbid conditions like diabetes, immunodeficiency
- Smoking: contributes to fluid buildup and blockage in the eustachian tube
- Mother smoking during pregnancy
- Occupations involving exposure to air pollution.
- Social status:[1][2][3]
Common Symptoms
Common symptoms of mastoiditis are:
- Ear pain
- fever
- Feeling of "fullness" in the ear.
- Recent episode of acute otitis media
- Fluid discharge in the ear
- Partial loss of hearing
- Irritability (in infants)
- headache
- Lethargy/malaise
- Neurological symptoms from chronic mastoiditis and otitis media with effusion:
- Poor attention span.
- Delayed speech development.
- Clumsiness.
- Poor balance[3]
Less Common Symptoms
less common mastoiditis symptoms are:
- Gastrointestinal symptoms such as vomiting and diarrhea
- meningismus
- torticulis[3]
References
- ↑ Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY (2014). "Risk factors for chronic and recurrent otitis media-a meta-analysis". PLoS ONE. 9 (1): e86397. doi:10.1371/journal.pone.0086397. PMC 3900534. PMID 24466073.
- ↑ Holt GR, Gates GA (1983). "Masked mastoiditis". Laryngoscope. 93 (8): 1034–7. PMID 6877011.
- ↑ 3.0 3.1 3.2 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.