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==Complete Differential Diagnosis of Otalgia==
(Most common causes)


* [[Otitis media]]
* [[Otitis externa]]
* [[Cholesteatoma]]
* [[Ear Trauma]]
* [[Mastoiditis]]
* [[Pharyngitis]]
* [[Cerumen impaction]]
* [[Perforated eardrum]]
* [[Ear canal foreign body]]
* [[Dental caries]]
(By organ system)
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Acute Coronary Syndrome]], [[Angina]]
|-
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| [[Eczema]], [[Psoriasis]], [[Furunculosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Reaction to topical agents]], [[Vinflunine]], [[Deferasirox]], [[Ciclesonide]], [[Butorphanol]]
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| Acute [[otitis externa]] (Swimmer's ear), Acute [[otitis media]], [[Auricular perichondritis]], [[Cerumen impaction]], [[Cholesteatoma]], [[Chronic otitis externa]], [[Ear canal foreign body]], [[Eustachian tube]] dysfunction, [[Eustachian tube]] syringitis, [[Furunculosis]], [[Herpes Zoster Oticus]], [[Laryngitis]], Malignant [[otitis externa]], [[Mastoiditis]], [[Myringitis bullosa]], [[Pahryngitis]], [[Retropharyngeal abscess]], [[Rhinitis]], Ruptured or [[perforated eardrum]], [[Sinusitis]], [[Sterile middle ear effusion]], [[Tonsilitis]], [[Tympanostomy tube]] obstruction, [[Acoustic neuroma]], [[Ear Trauma]], Suppurative [[otitis media]]
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| [[Ear Trauma]], [[High altitude sickness]], acute [[barotrauma]]
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Esophagitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"|
'''Bacterial:''' Auricular [[erysipelas]], [[Cellulitis]], Cervical [[adenitis]], [[Cervical spine infection]], [[Ear, nose, throat (ENT) deep-space infection]], [[Syphilitic]] [[meningitis]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]], [[Furunculosis]], [[Upper respiratory tract infection]]
'''Viral:''' [[Mumps]], [[Varicella]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]], [[Herpes Zoster Oticus]], [[Myringitis bullosa]], [[Ramsay Hunt syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| [[Cervical spine disease]], [[Temporomandibular Joint Dysfunction]] ([[TMJ]])
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| [[Trigeminal Neuralgia]], [[Acoustic neuroma]], [[Syphilitic]] [[meningitis]], [[Arnold nerve cough syndrome]], [[Glossopharyngeal neuralgia]]
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| [[Metastatic tumor]], [[Ear tumor]], [[Laryngeal carcinoma]], [[Tongue cancer]], [[Tonsil cancer]]
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| [[Functional disorders]]
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Arthritis]], [[Wegener granulomatosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| [[Cerumen impaction]], [[Cholesteatoma]], [[Head injury]], [[Perforated eardrum]]
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dental'''
|bgcolor="Beige"| [[Dental caries]], [[Tooth infection]]
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| Post-[[tonsillectomy]]/[[adenoidectomy]], [[Bell palsy]], [[Chondrodermatitis nodularis chronica helicis]], [[Keratosis obturans]]
|-
|}
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
* Acoustic nerve tumor
* Acute [[otitis externa]] (Swimmer's ear)
* Acute [[otitis media]]
* [[Arthritis]] of the [[temporomandibular joint]]
* Auricular [[erysipelas]]
* Auricular [[perichondritis]]
* [[Cellulitis]]
* [[Cerumen]] impaction
* [[Cervical spine disease]]
* [[Cholesteatoma]]
* Chronic [[otitis externa]]
* [[Chondrodermatitis nodularis chronica helicis]]
* Ear canal [[foreign body]]
* [[Eczema]]
* [[Eustachian tube]] dysfunction
* [[Eustachian tube]] syringitis
* [[Furunculosis]]
* [[Herpes Zoster Oticus]]
* [[High altitude sickness]]
* [[Keratosis obturans]]
* Malignant [[otitis externa]]
* [[Mastoiditis]]
* [[Mumps]]
* [[Myringitis bullosa]]
* Other acute [[barotrauma]]
* [[Psoriasis]]
* [[Ramsay Hunt syndrome]]
* Reaction to topical agents
* [[perforated eardrum]]
* [[Sterile middle ear effusion]]
* Suppurative [[otitis media]]
* [[Trauma]]
* [[Tumor]]
* [[Tympanostomy tube]] obstruction
* [[Varicella]]
* [[Vinflunine]]
=== Referred Pain ===
*  [[Acute Coronary Syndrome]]
*  [[Angina]]
*  [[Arnold nerve cough syndrome]]
*  [[Arthritis]]
*  [[Bell  palsy]]
*  Cervical [[adenitis]]
*  [[Cervical spine affection]]
*  [[Dental caries]]
*  Ear, nose, throat (ENT) deep-space infection
*  [[Esophagitis]]
*  [[Functional disorders]]
*  [[Glossopharyngeal neuralgia]]
*  [[Laryngeal carcinoma]]
*  [[Laryngitis]]
*  [[Lymphadenitis]]
*  [[Mastoiditis]]
*  [[Metastatic]] [[tumor]]
*  [[Mumps]]
*  [[Pahryngitis]]
*  [[Parotiditis]]
*  Post-[[tonsillectomy]]/[[adenoidectomy]]
*  [[Retropharyngeal]] [[abscess]]
*  [[Rhinitis]]
*  [[Sialoadenitis]]
*  [[Sinusitis]]
*  [[Syphilitic]] [[meningitis]]
*  [[Temporomandibular Joint Dysfunction]] ([[TMJ]])
*  [[Tongue cancer]]
*  [[Tonsilitis]]
*  [[Tonsillar cancer]]
*  [[Tooth infection]]
*  [[Trigeminal Neuralgia]]
*  [[Upper respiratory tract infection]]
*  [[Wegener granulomatosis]]


==Primary otalgia==
==Primary otalgia==

Revision as of 09:25, 1 July 2012

Otalgia
ICD-10 H60 Otitis Externa H65&H66 Otitis Media H92 Otalgia
ICD-9 380.1 Otitis Externa 381 Otitis Media 388.7 Otalgia
DiseasesDB 18027

Otalgia Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating otalgia from other diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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cited articles

Review articles

CME Programs

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Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Otalgia

CDC on Otalgia

Otalgia in the news

Blogs on Otalgia

Directions to Hospitals Treating Otalgia

Risk calculators and risk factors for Otalgia

For patient information click here

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

Synonyms and keywords: ear pain, earache


Overview

Pathophysiology

Epidemiology and Demographics

Risk Factors

Causes

Primary otalgia

Ear pain can be caused by disease in the external, middle, or inner ear, but the three are indistinguishable in terms of the pain experienced.

External ear pain may be:

Middle ear pain may be:

Secondary otalgia

Ear pain can be referred pain to the ears in five main ways:

Psychogenic otalgia is when no cause to the pain in ears can be found, suggesting a functional origin. The patient in such cases should be kept under observation with periodic re-evaluation.

Diagnosis

It is normally possible to establish the cause of ear pain based on the history. It is important to exclude cancer where appropriate, particularly with unilateral otalgia in an adult who uses tobacco or alcohol.[1]

Laboratory Findings

MRI and CT

  • Head CT scan

Other Diagnostic Studies

Treatment

  • Warm compress
  • Physical therapy, dental bite adjustment (TMJ)
  • Remove foreign bodies with a curette

Pharmacotherapy

Acute Pharmacotherapies

See also

External links

References

  1. ↑ Amundson L (1990). "Disorders of the external ear". Prim Care. 17 (2): 213–31. PMID 2196606.

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