DISEASES OF MIDDLE EAR
DISEASES OF MIDDLE EAR
DISEASES OF MIDDLE EAR
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usually sterile<br />
may contain pathogenic bacteria.<br />
More common in children.<br />
Predisposing Factors:<br />
o Eustachian tube obstruction<br />
inflammatory processes in the nasopharynx<br />
allergic manifestations<br />
hypertrophic adenoids<br />
benign or malignant neoplasms.<br />
SYMPTOMS - OME<br />
Asymptomatic<br />
o or<br />
Patient may experience<br />
-ear discomfort<br />
-hearing loss<br />
-tinnitus<br />
-possibly vertigo<br />
-feeling of ear fullness<br />
SIGNS<br />
Tympanic membrane retraction--mild<br />
Displacement of the light reflex--Distorted<br />
Accentuation of the landmarks--Prominent<br />
Transudate from the blood vessels in the mucous membrane<br />
develops in the middle ear<br />
o amber or gray appearance of tympanic membrane<br />
o immobility of the tympanic membrane<br />
An air-fluid level or bubbles of air may be seen through the tympanic<br />
membrane.<br />
Conductive hearing loss occurs<br />
DIAGNOSTIC TESTS FOR SOM
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