Ear discharge and hearing loss in an elderly woman
| Autor: | Paul McLean, Paul Cullis, Andy Chin |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Hearing aid
medicine.medical_specialty Hearing loss business.industry medicine.medical_treatment Perforation (oil well) Mucopurulent discharge General Medicine Audiology medicine.anatomical_structure Throat otorhinolaryngologic diseases medicine sense organs Otoscope medicine.symptom business Nose Tinnitus |
| Zdroj: | BMJ. :f7238 |
| ISSN: | 1756-1833 |
| Popis: | A 78 year old woman was referred by her general practitioner to the outpatient ear, nose, and throat clinic with a three week history of a discharging right ear (otorrhoea). She had difficulty hearing in both ears and normally used a hearing aid in her “better,” right ear. On further questioning she denied experiencing any pain in her ear or tinnitus in either ear. She had no other relevant symptoms. (1) What are the findings on otoscopy? (2) What should you look for on otoscopy? (3) What is the differential diagnosis of otorrhoea? (4) How would you treat this patient and what advice could be given? (5) Are there any other investigations you would organise? (1) The figure⇓ shows the otoscopic view of the right tympanic membrane. There is a large, infective, central perforation. Additionally, mucopurulent discharge is present and the surrounding skin appears erythematous and wet. Otoscopic view of right ear (2) To make an accurate assessment of the tympanic membrane clinicians need to be competent in their ability to use an otoscope (also known as an auriscope). Before carrying out the examination, the procedure should be explained to the patient. It is good practice to ensure that the patient is comfortable, lighting is adequate in the room, and the light on the otoscope is fully functional. Look for any scars around the ear that might denote previous surgery. Check for tenderness in and around the ear before inserting the otoscope. To … |
| Databáze: | OpenAIRE |
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