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Otitis externa case study
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Describe two patients, one who is being seen for OM, and one who is being seen for OE. Identify the symptoms they each present with, what the tympanic membrane and/or canal specifically look like, the selected prescription and the dosage of the prescription. Otitis Externa or swimmer's ear as it's commonly known, is an acute painful inflammatory disorder of the ear canal. This condition is characterized by a rapid onset of an external ear canal infection, that may extend distally to the pinna and proximal to the tympanic membrane resulting in otalgia, itching, canal edema, erythema, and otorrhea that often occurs after swimming or a minor trauma from inadequate cleaning. This form of ear bacterial infection is often caused by Pseudomonas aeruginosa and Staphylococcus aureus pathogens and can affect individual of all ages (Schaefer, & Baugh, …show more content…
This acute disorder, mostly affect infants and middle age children, that commonly presents with specific signs and symptoms such ear holding, tugging or pulling that may be accompanied by fever without signs of an acute illness (Pirozzo, & Del Mar, 2011)(Woo, & Robinson, 2016).
Acute Otitis Externa Case Study (AOE) :
A 26 year old female patient presents to the urgent care with a chief complaint of a" wet and painful left ear." The onset of symptoms began 24 hours after she spent the day swimming in her family pool. The patient states experiencing ear fullness and itching, that is unrelieved even after she cleaned her ear with a cotton swab. Upon examination with the otoscope, the ARNP notices a erythematous ear canal with a moderate tympanic membrane edema and a clear exudate. The external surrounding tissue is mildly tender to touch and normal vital signs WNL.
Pharmacotherapeutic treatment:
Combination therapy with topical antimicrobial ophthalmic
For 8 weeks of vacation work I have been looking at preparing and characterizing nanoparticulate systems to encapsulate the antimicrobial drug mupirocin. Specifically polymeric nanoparticles and liposomes were investigated.
The labyrinthitis is an inflammatory disease of the ' inner ear, whose main symptoms are dizziness, nausea and loss of balance. Inflammation of the labyrinth, which is that part of the inner ear that governs our sense of balance, it is in usually caused by an infection of viral or bacterial origin.
Nasopharyngeal obstruction due to adenoid hypertrophy may directly obstruct the pharyngeal ostia of the auditory tube, 2 mechanical obstruction of the Eustachian tube may be an important factor to occuring OME. 3 However, recurrent or chronic infection in the adenoids without obstructive hypertrophy may also manifest as recurrent acute otitis media, persistent OME supporting the theory of adenoids being a reservoir of pathogenic organisms leading to tubal edema and malfunction.4
Meniere’s disease is an inner ear disorder. People diagnosed with Meniere’s disease experience a variety of symptoms which include a fluctuating hearing loss which can turn permanent, tinnitus or a ringing sound in the ears, ear pressure, and spinning also known as vertigo. Most people with Meniere’s disease only have one ear affected by the disease. Meniere’s disease usually affects people between the ages of 20 and 50, but it can appear at any age. Meniere’s disease is chronic and there is no cure, but there are treatment options people can use to minimize some of the symptoms they might experience (1).
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
It is the disease of interstitial keratitis with deafness and vertigo attacks. Ataxic incidents may occasionally report. Abnormal MRI scans are of rare complaints. Deafness is very rare incidence in multiple sclerosis. Plus, cerebrospinal fluid readings are normal.
It is commonly diagnosed in childhood but can arise at any age and is not currently
The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) published the first clinical practice guideline in 2006 on acute otitis externa (AOE) with seven major statements. The guideline was designed to assist providers by providing an evidence-based framework for decision-making strategies. The AAO-HNSF made a strong recommendation that management of AOE should include an assessment of pain, and the provider should prescribe analgesic treatment based on the severity of pain. The provide should: 1) distinguish diffuse AOE from other causes of otalgia, otorrhea, and inflammation of the ear canal; 2) assess the patient with diffuse AOE for factors that modify management (nonintact tympanic membrane, tympanostomy tube,
WS, Lin, & XZ, Song. (1989). Clinical and Experimental research on a kidney-tonifying prescription in preventing and treating children's hearing lossinduced by aminoglycoside antibiotic ototoxicity. Chung His I Chieh Ho Tsa Chih, 9, 402-404.
If the child is greater than two years of age, then the guidelines recommend watchful waiting with mild to moderate acute otitis media (Boatright et al., 2015). Antibiotic treatment is only recommended with severe acute otitis media or if the child is under the age of six months with a certain or uncertain diagnosis of acute otitis media (Boatright et al., 2015).
...e, mouth, face, or whole body; involuntary chewing, sucking, and lip smacking; and jerky movements of the arms, legs, or entire body” (Comer, 2011, p. 379).
BPPV affects the vestibular apparatus, or inner ear; specifically the hair cells responsible for the detection of head movement. The cause of these symptoms is due to otoconia dislodging, moving into one or more of the semicircular canals within the inner ear (Liu 2012, p. 803; The Royal Victorian Eye & Ear Hospital 2011). Otoconia refers to calcium carbonate crystals that are normally in the saccule and utricle of the ear, and are responsible for stimulating the hair cells during head movements (Miriam-Webster Incorporated 2014). When these crystals move into the semicircular canals, a false sense of motion occurs due to the disruption of fl...
Health Issue of the Month: Middle Ear Infection. March 1999. 12 Apr. 2003. Sight and Hearing
Otitis media, commonly known as an ear infection, is an infection located in the middle ear, commonly diagnosed in children. In 2006, approximately nine million children (age zero to seventeen) were reported to have otitis media, while medical costing to treat otitis media peaked at $2.8 billion dollars (Soni, 2008). Costing and statistics of otitis media will continue at the increasing rate due to the commonality of the infection. As a result of increasing cases of otitis media, an understanding of the disease’s classifications, causes, symptoms, diagnostic tests, and treatments will inform one of the diseases presences.
(2011). Rugby Injury. Rugby injury-associated pseudocyst of the auricle : report and review of sports associated dermatoses of the ear, 19, 5.