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Saturday, 24 August 2019

Ear Problems

Otitis Media
Any upper respiratory tract infection (often bacterial - strep) but may be viral can cause inflammation of the respiratory mucosa, with obstruction of the eustacian tube isthmus, with results in accumulation of middle ear secretions. This causes negative pressure which pulls viruses and bacteria into the middle ear.
This increases the pressure causing otalgia and a bulging TM - the most obvious sign.
75 - 80% resolve by 72 hours - most are better by 3 days.

It is frequently overdiagnosed.

Complications include hearing loss, recurrent otitis media, perforation, labyrinthitis, mastoiditis, facial palsy, meningitis, cerebral abscess and venous sinus thrombosis.

Treatment is mostly with time. Watch and wait antibiotics may be useful.
Amoxicillin is the first choice if antibiotics actually needed (bilateral infection, longer than 3 days, systemically poorly)

There may be an associated effusion (glue ear). Consider a hearing assessment especially if recurrent.

Otitis Externa
This is often caused by bacteria and fungi, and less commonly viruses. The ear canal is swollen and sore with discharge- like a pimple. If there's mucous there, the discharge is probably from AOM. Treat with drops - antiseptic (acetic acid) and antibiotic (ciprofloxacin or aminoglycoside if no TM rupture).

Malignant Otitis Externa
Very painful and often in the elderly. Caused by pseudomonas.

Foreign Bodies in the Ear
Read this RCEMLearning article.

Nose Trauma
Nose trauma is common in children. There is a belief that nasal septal haematomas are more common - look for a cherry red haematoma in the nose.

https://www.rcemlearning.co.uk/foamed/stuck-in-the-ear/
https://journalfeed.org/article-a-day/2017/wait-and-see-antibiotics-for-otitis-media
https://dontforgetthebubbles.com/otitis-media/
https://www.nice.org.uk/guidance/ng91
https://www.rcemlearning.co.uk/foamed/stuck-in-the-ear/
https://www.gpnotebook.co.uk/simplepage.cfm?ID=-1241120761
http://dontforgetthebubbles.com/otitis-externa/
https://emedicine.medscape.com/article/845525-overview
https://www.bmj.com/content/349/bmj.g6075
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14 comments:

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    1. Jacob Maddison20 May 2020 at 16:48

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    2. Unknown4 December 2020 at 23:47

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      Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email ( Drolusolutionhome@gmail.com ) or add him on whatsapp line +2348140654426 

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  2. Joseph Rossignol19 January 2021 at 09:56

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    Hello everyone out there, Am Roland Attah here to testify of the wonderful work Dr Alex has done for me with His herbal medicine, in the past years i have being going through hard times in any relationship am into, because of the small size of my penis which was not big enough to satisfy a woman, so which always end up in series of breakup in my relationship with women because of this i have tried so many drugs to enlarge my penis but did not work out, then I decided to search online for solution to my problem and than came across so many testimony on how Dr Alex have helped them find solution to their problems, so I contacted him on his email and told him about my small penis and ejaculation issue, he told me not to worry that he will help me be a real man again, i did not believe he can help me but i gave him a try, he told me what to do and then send me his herbal cream and medicine which i used and it worked for me now am a happy man. He can also cure diabetes, H.I.V , hepatitis B and any kind of sickness you have. you can contact him by email on (alexherbalsolutionhome@gmail.com)You can contact me directly on WhatsApp +447731579961 for any Tips Regards  This will be the end of your sexual problems and other problems. Good Luck.

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  8. zdorothybalch8 December 2021 at 10:13

    Thanks for sharing. This post really help me a lot and I have learnt some new things from your blog,Nice post! Thank you for sharing this post with us

    Regards,
    Ear specialist near me

    ReplyDelete
  9. Maryam Kilani30 January 2022 at 13:26

    I was diagnosed of HERPES Virus in 2019 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication to cure all kind of diseases including HERPES virus, at first i doubted if it was real but decided to give it a try , when i contact this herbalist and he prepared a HERPES herbal cure and sent it to me via FEDEX delivery company service, when i received this herbal cure, he gave me step by directions on how to apply it, when i applied it as instructed, i was totally cured of this horrible disease within 14days of usage, i went to the hospital for a test and it was negative. I can tell the public now that I am now free from the horrible disease called herpes, all thanks to Dr.OLIHA that is why I want to leave his email address and What's app contact just if you want to contact him for help. you reach this great herbal doctor via his call or whatsapp on +2349038382931 email on (oliha.miraclemedicine@gmail.com) website on: https://olihamiraclemedicine.webs.com/ ....

    ReplyDelete
  10. zdorothybalch17 February 2022 at 08:32

    Very interesting post. This is my first time visit here. I found so many interesting stuff in your blog especially its discussion.. Thanks for the post!

    Regards,
    Ear Specialist Near me

    ReplyDelete

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