Tympanic membrane perforation

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Tympanic membrane perforation

Eyes, ears, nose and throat

Eye disorders

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Hemianopsia

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Conjunctivitis

Neonatal conjunctivitis

Ear disorders

Conductive hearing loss

Eustachian tube dysfunction

Tympanic membrane perforation

Otitis externa

Otitis media

Vestibular disorders

Vertigo

Meniere disease

Labyrinthitis

Acoustic neuroma (schwannoma)

Nasal and nasopharyngeal disorders

Choanal atresia

Allergic rhinitis

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Temporomandibular joint dysfunction

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Thyroid and parathyroid gland disorders

Thyroglossal duct cyst

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Hyperparathyroidism

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Eyes, ears, nose and throat pathology review

Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review

Eye conditions: Retinal disorders: Pathology review

Eye conditions: Inflammation, infections and trauma: Pathology review

Vertigo: Pathology review

Nasal, oral and pharyngeal diseases: Pathology review

Thyroid nodules and thyroid cancer: Pathology review

Parathyroid disorders and calcium imbalance: Pathology review

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Tympanic membrane perforation

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Tympanic membrane perforation

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A 6-year-old boy is brought to the pediatrician for evaluation of left ear pain. The patient's mother states, “He has been tugging on his left ear for the past three days; he just cannot seem to get any relief.”  The patient has been taking tylenol at home for symptomatic relief. Temperature is 38.0°C (100.4°F), pulse is 99/min, respirations are 16/min, and blood pressure is 100/65 mmHg. Physical examination is notable for the following finding:


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Which of the following pathogens is the most likely cause of this patient’s clinical presentation?

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Summary

Tympanic membrane perforation, also known as a ruptured eardrum, is a condition where there is a tear or hole in the thin membrane that separates the outer ear from the middle ear. This can be caused by a variety of factors, such as otitis media, trauma (e.g. by trying to clean the ear with sharp instruments), explosion, or loud noise.

Symptoms of tympanic membrane perforation may include pain, hearing loss, ringing in the ears, and drainage from the ear. In some cases, the perforation may heal on its own within a few weeks, but in other cases, medical intervention may be necessary. Treatment options include medications to prevent or treat infection and reduce inflammation, or surgery to repair the perforation.

Elsevier

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