Fifteen-minute consultation: A structured approach to the assessment of a child with earache

被引:0
作者
Halliday, Edwin [1 ]
Wooles, Nicola [1 ]
Grainger, Joe [1 ]
机构
[1] Birmingham Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Birmingham, W Midlands, England
来源
ARCHIVES OF DISEASE IN CHILDHOOD-EDUCATION AND PRACTICE EDITION | 2023年 / 108卷 / 01期
关键词
audiology; deafness; emergency care; paediatrics; primary health care; MANAGEMENT; EAR;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Earache, or otalgia, in children is common. Diagnosis can be challenging due to the range of causes. Assessment involves a thorough history and examination. Identification of associated otological symptoms, including discharge, hearing loss, vertigo and facial nerve weakness, is helpful and can aid diagnosis. Examination should involve looking at the external ear, otoscopy to assess the ear canal and tympanic membrane and documentation of facial nerve function. If otological examination is normal, further examination looking for non-otological causes may be guided by the history. Investigations are often unnecessary but may include blood tests, audiology and imaging. Most otalgia is caused by an acute infection, which is self-limiting and can be managed in the community. However, ear, nose and throat (ENT) advice and input may be required for systemically unwell children or those who fail to improve despite appropriate medical therapy.
引用
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页码:2 / 9
页数:8
相关论文
共 15 条
[1]  
Collin L., 2020, ACUTE MASTOIDITIS GU
[2]   Paediatric rhabdomyosarcoma of the ear and temporal bone [J].
Durve, DV ;
Kanegaonkar, RG ;
Albert, D ;
Levitt, G .
CLINICAL OTOLARYNGOLOGY, 2004, 29 (01) :32-37
[3]  
ENT UK, 2020, AC MAN TEMP BON FRAC
[4]  
Golub JS., 2014, OTOLARYNGOLOGY HEAD, P218
[5]  
Hussain, 2016, LOGAN TURNERS DIS NO, P403
[6]  
Hussain, 2016, LOGAN TURNERS DIS NO, P617
[7]  
Hussain, 2016, LOGAN TURNERS DIS NO, P411
[8]   A review of pediatric middle ear tumors and analysis of the demographics, management, and survival of pediatric rhabdomyosarcomas of the middle ear [J].
Janz, Tyler A. ;
Camilon, P. Ryan ;
Cheung, Anthony Y. ;
Nguyen, Shaun A. ;
White, David R. ;
Weber, Peter C. .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2018, 112 :109-112
[9]   Herpes zoster oticus (Ramsay Hunt syndrome) in children: Case report and literature review [J].
Kansu, Leyla ;
Yilmaz, Ismail .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (06) :772-776
[10]  
Leung AKC, 2000, J NATL MED ASSOC, V92, P254