SLIDE 2 1/7/2014 2
MOI:
Growth of bacteria or fungus in
- uter ear resulting in outer ear
infection.
Predisposing factors: dark wet
environment and/or over- cleaning ears.
S/s:
C/c constant pain and pressure in
ear w/ associated itchiness. May c/o of hearing loss, dizziness. Ear canal appears red and irritated upon inspection. (+) Tug Test
Mgt:
Refer for physician evaluation Antibiotics
Cuppet, 2012 www.fpnotebook.com/ EntOtomycosis.jpg
Symptoms are similar
to otitis externa:
Canal swelling &
errythemia itching, pain and decrease in hearing,
May be removed either
by physician with tool
http://images.medicinenet.com/images/illustrations/ear_wax.jp http://stallgeriatrics.com/education/KeyPrinciple2-EarWax.jpg
Normal Veil of cerumen Soft Cerumen Impacted soft brown cerumen
eac.hawkelibrary.com/
MOI:
Sudden change in air pressure or
impaled object
S/s:
Excruciating pain in middle ear that
- radiates. Tinnitus. Marked loss of
hearing, transient dizziness.
Blood or fluid may be viewed
escaping from the ear or viewed through otoscope.
Any fluid noted in the ear canal be
should be a red flag indicating rupture.
Mgt:
Potential for associated basilar skull
fx depending on MOI.
Cover with sterile gauze, and
immediate referal. Traumatic perforation Subtotal perforation of the tympanic membrane
insect (ant) in external auditory meatus,
www.rcsullivan.com/ www/forum/zlinsky/glueear1.jpg
MOI: direct blow S/s: May or may not have deformity but bleeding usually present. Signs of direct trauma. Ecchymosis, and swelling
C/c is pain on and around the nose MGT: ice, stop bleeding and refer
Cuppett, 2012
