Ear Disorders
Part A.
Otorhinolaryngological conditions may vary in severity. While some conditions are relatively simple to diagnose and manage, other diseases are complex and have increased mortality rates. Rhinocerebral mucormycosis is an emergent perilous and invasive condition caused by a fungi of the Zygomycetes class (Petrikkos et al., 2012). Mucormycosis is an uncommon but evolving fungal infection that mainly affects immunosuppressed patients. According to Petrikkos et al. (2012), invasive mucormycosis is most commonly reported in sites such as sinuses (39%) and lungs (24%), with an overall mortality rate of 44% in diabetics. Furthermore, rhinocerebral mucormycosis is the principal form of this fungal infection in patients with diabetes mellitus.
Rhinocerebral mucormycosis develops from the inhalation of fungal spores into the paranasal sinuses and eventual invasion of the adjacent tissues, including the cerebral vasculatures. Early symptoms of this fungal infection include sinus tenderness, periorbital cellulitis, facial pain, numbness, eyelid edema, headache, fever,
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Ear disorders vary in history and presentation particularly with age. In the case of otitis media, infants, children, and adults, may present with different symptoms. For example, neonates with acute otitis media may only present appetite changes and irritability. On the other hand, older children may present fever, otalgia, and ear tugging. However, adults usually present hearing loss with effusion and ear stuffiness (Pensak & Choo, 2015).
In the case of otitis externa, neonates exhibit inflammation of the acoustic meatus and fever, while older children may present otalgia, pruritus, and tenderness of the tragus and/ or pinna (Buttaravoli & Leffler, 2012). Adults with otitis externa may have the following symptoms; tinnitus, hearing loss, pruritus. Nonetheless, otitis externa appears is common in older children aged 7-12 and young adult population (Tarazi, Al-Tawfiq, & Abdi,
Hearing loss continues to linger in the elderly population of today’s society. Yet, the onset of hearing loss can occur at any age and at any point in
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides
This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of Pediatrics and Family Physicians. Specialists from multi medical disciplines assembled to create an integrative systematic study and review of the current evidence- based literature available for the treatment and management of Acute Otitis Media (AOM). The conclusions and findings were utilized to devise guidelines and a practice protocol that recommended early diagnosis and makes
This is when sound cannot pass efficiently through the outer and middle ear to the cochlea and auditory nerve. The most common type of conductive deafness in children is caused by ‘glue ear’. Glue ear (or otitis media) affects about one in five children at any time.
The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it establishes diagnosis and management guidelines for the treatment of AOM. In addition the article recommends treatment options for the symptoms of AOM and addresses the concept of watchful waiting. The is an evidence based guideline as it provides recommendations for practice and was created a systematic review and best clinical research in clinical literature. The Block article, Causative Pathogens,
Twenty-six percent of infants ears demonstrated hearing loss during the first year of life, and 78% of children’s ears demonstrated hearing loss during the study period. Of the children’s ears with hearing loss, 100% had a conductive component and 26% had an additional sensorineural component (mixed hearing loss…Common temporal bone findings included thickening and sclerosis of the
Mumps-The child may have ear pain, slight fever, swelling from the jaw to the ear, the swelling will start on one side and may travel to the other.
Acute Otitis Media (AOM), inflammation or infection of the middle ear, is an illness most parents have had experience with. Countless hours of lost sleep and worry secondary to their child’s pain and distress can keep even the most seasoned parents awake at night. Before the age of 36 months, 83% of children will experience 1 or more ear infections and AOM is the most common reason for office visits of preschoolers in the United States (Zhou, Shefer, Kong & Nuorti, 2008). The graphic below serves as a review of evidence and explores the usefulness of the information in relation to the option of watchful waiting in the management of AOM.
Otitis media (OM) is the main source of ear disease in Indigenous children (AIHW, 2014). OM can lead to fluctuating hearing loss and it usually does not show any symptoms so that detect without specialist screening is difficult (AIHW, 2014). Indigenous children’s development and schooling would be seriously affected as early childhood hearing loss is detrimental to brain development, lead to low language development and poor social development (AIHW, 2014). In Aboriginal and Torres Strait Islander children, the disease embodies early, often within the first two weeks of life, and usually presents as middle ear effusion, or glue ear (AIHW, 2014). The reasons for high rates of ear disease in Indigenous children are household overcrowding, passive smoking, premature birth, bottle feeding and malnutrition (AIHW, 2014). For the improvement measures, Haemophilus influenzae type b (Hib) vaccination and routine child ear and hearing check can help to improve these ear diseases (AIHW,
Otitis Externa is most often caused by Staphylococcus aureus and Pseudomonas aeruginosa. Acute otitis media can be caused by bacterial or viral pathogens. Some of the pathogens associated with acute otitis media (AOM) include, S. pneumoniae, H. influenza, M. catarrhalis, and Streptococcus pyogenes. The common cold or rhinosinusitis is likely caused by rhinoviruses, adenoviruses, coronaviruses, enteroviruses, influenza and parainfluenza viruses, and respiratory syncytial virus (Burns, Dunn, Brady, Starr, & Blosser, 2013). Acute bacterial rhinosinusitis (ABRS) is a result of the S. pneumoniae, H. influenza, M. catarrhalis and/or B-hemolytic streptococci bacterias. Sore throats or acute pharyngitis is 90 percent of the time caused by a viruse. Bacterial sore throats are often a result of the group A streptococci bacteria. According to Burns et al., 2013, Mycoplasma pneumoniae, Chlamydia pneumoniae, groups C and G streptococci, and Arcanobacterium hemolyticum can cause acute pharyngitis. Pathogens that typically cause infections of the tonsils include B-hemolytic streptococci, group D streptococcus, and S. pneumonia (Burns, et al., 2013). The pathogens involved in acute cervical adenitis include B-hemolytic strep, staphylococcus, B. heneslae, viruses, and atypical
“It’s very common among young children because the Eustachian tubes in their ears haven’t come into their proper position yet,” says Dr. Joseph Scianna of Northern Illinois ENT Specialists in Sycamore. He’s the specialist Corbin’s pediatrician
Swimmers ear needs to be diagnosed by your local doctor, and it can be treated by antibiotics. However, when you have repeated instances of swimmers ear over the years, scar tissue begins to build up in the ear canal. This is a dual edge sword because the more scar tissue you have, the more narrow the ear canal becomes. This gives even less room for trapped water to escape, and you end up with a vicious cycle of continued infections. A build-up of scar tissue will also decrease your hearing abilities.
Tonsillitis can be described as the inflammation of the non-encapsulated lymphoid structures, lingual and palatine tonsils. These lymphoid tissues are part of the immune system and are the first line of defence against pathogens in the oral cavity. The palatine and lingual tonsils are located underneath the stratified squamous epithelial mucosa of the tongue and oropharynx. The tonsils’ response to bacterial or viral infections of the epithelial mucosa, e.g. streptococci and the Epstein-Barr virus (EBV), is inflammation and enlargement of the tonsils and antibody responses, largely IgA. Symptoms of tonsillitis include Sore throat and fever.
Pathophysiology: When mucor spores is inhaled, the person usually ends up with pneumonia. In pulmonary mucormycosis, the spores are inhaled,
There is a form of mycosis that develop within the human body. These are commonly name Histoplasma capsulatum. “It occurs commonly in areas in the Midwestern United States and Central America”, Histoplasmosis is a generalized mycosis of respiratory origin,