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Hello Doctor, One More Case Study This Week, Hoping I’m
Question: Hello Doctor,
One more case study this week, hoping I’m right on the right track:
9 -year old male with CC mild earache for the past two days. Feels warm, mom did not check his temperature. Child reports increased pain lying down and that it was harder for him to hear and that he's been spending a lot of time in the pool.
Respectfully submitted and thank you!
Diff. Dx:
1. otitis externa (swimmer’s ear)
2. otitis media with perforation or PE tube present
3. cerumen impaction
4. foreign body
5. furuncle/carbuncles
One more case study this week, hoping I’m right on the right track:
9 -year old male with CC mild earache for the past two days. Feels warm, mom did not check his temperature. Child reports increased pain lying down and that it was harder for him to hear and that he's been spending a lot of time in the pool.
Respectfully submitted and thank you!
Diff. Dx:
1. otitis externa (swimmer’s ear)
2. otitis media with perforation or PE tube present
3. cerumen impaction
4. foreign body
5. furuncle/carbuncles
Brief Answer:
Most likely swimmer's ear.
Detailed Answer:
Hello,
I have through your case and here is my advise.
As per your history, having earache, feels warm, decreased hearing with spending lot of time in pool, it may be swimmer's ear.
Otitis media with perforation may present with similar complaints, but usually having history of upper respiratory tract infection with cough, nasal discharge.
For diagnosis as foreign body, there should be history like that and in carbuncle or furuncle, usually there is no decreased hearing.
In cerumen impaction, usually there is no fever or feel warm.
So as per history, it is most probably swimmer's ear.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale
Most likely swimmer's ear.
Detailed Answer:
Hello,
I have through your case and here is my advise.
As per your history, having earache, feels warm, decreased hearing with spending lot of time in pool, it may be swimmer's ear.
Otitis media with perforation may present with similar complaints, but usually having history of upper respiratory tract infection with cough, nasal discharge.
For diagnosis as foreign body, there should be history like that and in carbuncle or furuncle, usually there is no decreased hearing.
In cerumen impaction, usually there is no fever or feel warm.
So as per history, it is most probably swimmer's ear.
Let me know I can assist you further.
Regards,
Dr. Shyam Kale
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Kampana
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