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Acute Otitis Media

 Syn. AOM

Signs & Symptoms

 Otalgia Gr. children
Note: Most common complaint in children (82%).
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications]
Unilateral
Ref: Uptodate [ Acute otitis media in adults Chronic otitis media, cholesteatoma, and mastoiditis in adults]
Otalgia
Note: Most common complaint in children (82%).
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications] Harrison [ 212] Cecil [ 871]
Winter season Gr. children
Ref: Uptodate [ Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications]

Physical Examination

 Acute onset
Ref: Harrison [ 212]
Tympanic membrane immobility on pneumatic otoscopy
Ref: Uptodate [ Acute otitis media in adults] Harrison [ 212] Cecil [ 871]
Fluid in middle ear on pneumatic otoscopy
Ref: Uptodate [ Acute otitis media in adults] Harrison [ 212] Cecil [ 871]

Lab / Serology

Imagin Study

 Mastoid effusion on CT scan
Ref: Uptodate [ Acute otitis media in adults]

Complication

 Conductive hearing loss
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications]
Subdural abscess
Note: due to Chronic Otitis media
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Diagnosis Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications] Harrison [ 213] Cecil [ 871]
Perforation of TM
Note: due to Bacterial infection, Relief of the otalgia.Purulent otorrhea.
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications] Harrison [ 212] Cecil [ 871]

Risk Factors

 Children
Ref: Uptodate [ Acute otitis media in adults Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications]
Male
Ref: Uptodate [ Acute otitis media in children: Epidemiology, microbiology, clinical manifestations, and complications]

Cause

 Upper respiratory infection
Ref: Uptodate [ Acute otitis media in adults] Harrison [ 212] Cecil [ 871]
Viral Upper respiratory infection
Ref: Uptodate [ Acute otitis media in adults] Harrison [ 212] Cecil [ 871]
Seasonal allergic rhinitis
Ref: Uptodate [ Acute otitis media in adults Chronic otitis media, cholesteatoma, and mastoiditis in adults]

Other