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Source: http://www.doksinet Agnes Szirmai MD, PhD Source: http://www.doksinet Outer ear Concha External meatus Ear drum Middle ear Tympanic cavity Mastoid cavity Eustachian tube Inner ear Cochlea and labyrinth VIII. nerve Source: http://www.doksinet Earache Fever Discharge from ear Hearing loss Tinnitus Dizziness or vertigo Headache (rare, in cases of complications) Source: http://www.doksinet Pain: Pulsating or pressing? Duration? Other symptoms? Fever: Constant Remitting Septical Source: http://www.doksinet Amount of discharge Odour, smell Colour Type: serous, purulent, mucous, colourless (like water) Otoscopy: pulsating discharge? Source: http://www.doksinet Which ear? Sudden hearing loss or gradual? Low or high frequency? Disturbed by noise or not? Speech-discrimination? Better hearing in noise? Source: http://www.doksinet When started? Which ear? Intensity? Low or high
freuency? Pulsating or monotone? Influence of head position? How much disturbed by tinnitus? Anxiety, insomnia, depression? Quality of life? Source: http://www.doksinet Vertigo type: rotation, tilting, imbalance, unsteadiness Length of attacks: seconds, minutes, hours, days Single attacks or recurrent attacks? Concomittant symptoms: hearing loss, tinnitus, vomitus, loss of consciousness Source: http://www.doksinet Auricle diseases Deformities, traumas, inflammations, tumours External auditory meatus diseases Foreign bodies, inflammations, benign tumours Ear drum disorders Traumatic perforations, inflammations=myringitis Source: http://www.doksinet Lob or bat ear Treacher-Collins syndrome Caudally displaced auricular rudiment Cup ear Auricular atresia Source: http://www.doksinet Develepmental disorders Quiet phase Infected phase Therapy: Surgery Source: http://www.doksinet Cause: dissection between perichondrium and cartilage Typical:
wrestlers Acute phase: othematoma Chronic (untreated) phase: Cauliflower ear, sclerosis Therapy: X incision Source: http://www.doksinet Therapy: Antibiotics, disinfection, cleaning of the meatus Source: http://www.doksinet Herpes eruptions in the auricle Neuralgic pain Possible complications: Sensorineural hearing loss Vertigo Facial palsy Source: http://www.doksinet Basalioma, spinalioma, melanoma Therapy: Surgery Source: http://www.doksinet Auricle tumour propagates to the external canal Cancer of the external meatus with lymph node metastases Source: http://www.doksinet Pressing pain Tinnitus Hearing loss Therapy: remove wax, syringe Source: http://www.doksinet Source: http://www.doksinet Pulsating pain Mild conductive hearing loss, discharge Otitis externa circumsciptafurunculus Otitis externa diffusa Ekzematosa Purulenta Mycotica- Otomycosis Therapy: cleaning, antibiotics, disinfective or antibotics and + steroid
gause wick in the canal Source: http://www.doksinet Source: http://www.doksinet Source: http://www.doksinet Source: http://www.doksinet 1. 2. 3. 4. 5. 6. 7. 8. 9. umbo light reflex handle of the malleus prominent short process chorda tympani nerve incus round window niche promontory eustachian tube orifice Source: http://www.doksinet Source: http://www.doksinet Disorders: Thickness or atrophy Position (retraction or bulging) Perforations Most of the disorders means middle ear diseases Isolated ear drum diseases: Trauma myringitis Source: http://www.doksinet Cause: Blow of the ear Pain, mild hearing loss, mild bleeding Spontaneus closure within 2 months. If not: myringoplasty with temporal fascia Important: to prevent infection! Source: http://www.doksinet Viral infections: influenza Types: myringitis bullosa , myringitis granulosa Extremely severe pain Therapy: local treatment, antibiotics to prevent secondary bacterial infections
Source: http://www.doksinet Other eardrum disorder means, that the patients has middle ear disease! Source: http://www.doksinet