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Are there abnormalities on the ear examination? The ear examination may reveal severe otitis externa, an epithelioma of the pinna, a foreign body, or impacted wax. It may also show inflammation and bulging of the eardrum. A ... DIAGNOSTIC WORKUP
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Is there a family history of migraine or epilepsy? Migraine and epilepsy both present with abdominal pain.
Is the pain colicky or persistent? Chronic colicky abdominal pain may be due to chronic ... DIAGNOSTIC WORKUP
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Dizziness/lightheadedness, a sensation of nearly losing consciousness, must be distinguished from vertigo, a sense of impulsion (spinning), either of the environment or of the patient. Dizziness/lightheadedness usually results from a decrease in... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Recurrent or relapsing fever is a cluster of febrile episodes that occur over a period of time, with documented fever-free intervals and without an apparent medical cause for each episode. It should be differentiated from cyclic fever, which refers to febrile episodes with... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Vertigo is an illusion of movement (usually rotatory) due to an acute imbalance of tonic vestibular activity. Symptoms of vertigo are nonspecific and occur when there is a disturbance anywhere in the peripheral or central vestibular system.... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The analysis of earache is much like that of dysuria: It is anatomic and inflammation accounts for the vast majority of causes. Thus, otitis externa would be like urethritis and otitis media like cystitis, and so forth.
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... The differential diagnosis of a nonbloody discharge of the ear can best be done by using anatomy. Visualize the components of the ear apparatus. A discharge may arise from the external canal, the middle ear, the mastoids and petrous bone, the inner ear, or
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Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to determine the... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.
... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Dizziness
Hyperventilation
Anxiety, psychosomatic causes
Hypoxia
Anemia
Visual disturbances
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... Ménière’s disease, a labyrinthine dysfunction also known as endolymphatic hydrops, produces severe vertigo, sensorineural hearing loss, and tinnitus. After multiple attacks over several years, this disorder leads to residual tinnitus and hearing... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to determine the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.
... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Frank S. Celestino
Dizziness accounts for 1% to 2% of all office visits, 7% of visits by patients aged more than 80 years and 20% to 25% of all non–pain-related emergency room visits (1–3). Dizziness and vertigo are usually benign, self... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Irritable bowel syndrome
❑ Peptic ulcer disease
❑ Cholecystitis
❑ Chronic pancreatitis
&... Diagnostic Approach ... Clinical Findings
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... Also known as otalgia, earaches usually result from disorders of the external and middle ear that are associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. It... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling as if he’s being pulled sideways, as though drawn by a magnet. ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Can be causedby external or middle ear pathology or by referred pain from another source. According to Potsic (1997), 85% ofchildren with ear pain have infection; 7%, referred pain; 5%,middle ear effusion; and 3%, miscellaneous causes. Principal ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...Some children have frequent or recurrentinfections. The important clinical question is whether these areinfections that occur in immunologically normal or compromised hosts. Principal Causes of Recurrent Infection Normalhost Upper ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Vertigois a disturbance of spatial orientation in which individuals havethe sensation that they or their surroundings are moving. Abnormalvestibular function, either in the peripheral or central nervoussystem, produces vertigo. Peripheral vestibular system... Principal Causes of Vertigo ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Earaches usually result from disorders of the external and middle ear associated with infection, obstruction, or trauma. Their severity ranges from a feeling of fullness or blockage to deep, boring pain. At times, it may be difficult to determine the precise location... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Vertigo is an illusion of movement in which the patient feels that he's revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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The analysis of earache is much like that of dysuria: It is anatomic, and
inflammation accounts for the vast majority of causes.
Thus, otitis externa would be like urethritis and otitis media like
cystitis, and... Pictures
... READ EXCERPTS »
...
The differential diagnosis of a nonbloody discharge of the ear can best
be done by using anatomy. Visualize the components of the ear
apparatus. A discharge may arise from the external canal, the middle ear,
the mastoids and... Pictures
... READ EXCERPTS »
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