Otic barotrauma - Revision history

Rossdonaldson1 at 05:58, 6 January 2022

2022-01-06T05:58:22Z

← Older revision		Revision as of 05:58, 6 January 2022
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	==Background==		==Background==
	*Also known as "ear squeeze" - generally seen during scuba diving or air travel		*Also known as "ear squeeze" - generally seen during scuba diving or air travel

			{{Barotrauma types}}
			{{Diving Physiology}}

	==Clinical Features==		==Clinical Features==

Elcatracho: /* Middle Ear */

2021-02-01T20:30:39Z

Middle Ear

← Older revision		Revision as of 20:30, 1 February 2021
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	==Management==		==Management==
	====Middle Ear====		====Middle Ear====
	*Decongestants		*Decongestants and topical nasal vasoconstrictors
	*Consider [[antibiotics]] if [[tympanic membrane rupture]]		*Consider [[antibiotics]] if [[tympanic membrane rupture]]
	**Remember to use medications such as [[ofloxacin]] suspension that will be safe in the middle ear		**Remember to use medications such as [[ofloxacin]] suspension that will be safe in the middle ear

Elcatracho: /* Disposition */

2021-02-01T20:30:05Z

Disposition

← Older revision		Revision as of 20:30, 1 February 2021
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	==Disposition==		==Disposition==
	*Generally may be discharged		*Generally may be discharged with ENT follow up
	*Resolution usually in 5-7 days, but can take up to 2 weeks		*Resolution usually in 5-7 days, but can take up to 2 weeks

ElavemanMD: /* Evaluation */

2020-07-19T04:11:52Z

Evaluation

@@ Line 25: / Line 25: @@
 *Webber and Rinne for middle ear barotrauma
 **Conductive hearing loss expected
 ==Management==

Rossdonaldson1: /* Middle Ear */

2020-03-02T21:29:18Z

Middle Ear

← Older revision		Revision as of 21:29, 2 March 2020
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	====Middle Ear====		====Middle Ear====
	*Decongestants		*Decongestants
	*Consider [[antibiotics]] if [[tympanic membrane rupture]]~~, remember~~ to use medications such as [[ofloxacin]] suspension that will be safe in the middle ear		*Consider [[antibiotics]] if [[tympanic membrane rupture]]
			**Remember to use medications such as [[ofloxacin]] suspension that will be safe in the middle ear
	*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss		*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss

Gpowellhb: /* Middle Ear */

2020-02-11T22:37:37Z

Middle Ear

← Older revision		Revision as of 22:37, 11 February 2020
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	====Middle Ear====		====Middle Ear====
	*Decongestants		*Decongestants
	*Consider [[antibiotics]] if [[tympanic membrane rupture]]		*Consider [[antibiotics]] if [[tympanic membrane rupture]], remember to use medications such as [[ofloxacin]] suspension that will be safe in the middle ear
	*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss		*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss

ClaireLewis at 21:35, 28 September 2019

2019-09-28T21:35:03Z

← Older revision		Revision as of 21:35, 28 September 2019
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	====Middle Ear====		====Middle Ear====
	*Results from inability to equalize middle ear pressure		*Results from inability to equalize middle ear pressure
	*Pain, fullness, vertigo, conductive hearing loss, TM rupture		*[[earache\|Pain]], fullness, [[vertigo]], conductive [[hearing loss]], [[TM rupture]]

	====Inner Ear====		====Inner Ear====
	*Results from forceful valsalva against an occluded eustachian tube, or rapid descent in diving or aviation		*Results from forceful valsalva against an occluded eustachian tube, or rapid descent in diving or aviation
	**Pressure difference between middle ear and inner ear can rupture oval or round window		**Pressure difference between middle ear and inner ear can rupture oval or round window
	*Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo		*Sudden onset of sensorineural [[hearing loss]], [[tinnitus]], severe [[vertigo]]
	*Must be lacking in any other neurologic signs (otherwise consider infarction)		*Must be lacking in any other neurologic signs (otherwise consider infarction)

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	====Middle Ear====		====Middle Ear====
	*Decongestants		*Decongestants
	*Consider [[antibiotics]] if [[~~typmanic~~ membrane ~~ruptured~~]]		*Consider [[antibiotics]] if [[tympanic membrane rupture]]
	*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss		*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss

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	*Elevate head of bed		*Elevate head of bed
	*Advise patient to not blow nose		*Advise patient to not blow nose
	*Antivertigo medications		*Antivertigo medications (e.g. [[meclizine]])
	*ENT consult		*ENT consult

Kxl328: /* Inner Ear */

2018-10-19T16:17:29Z

Inner Ear

← Older revision		Revision as of 16:17, 19 October 2018
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	====Inner Ear====		====Inner Ear====
	*Results from forceful valsalva against an occluded eustachian tube		*Results from forceful valsalva against an occluded eustachian tube, or rapid descent in diving or aviation
	**Pressure difference between middle ear and inner ear can rupture oval or round window		**Pressure difference between middle ear and inner ear can rupture oval or round window
	*Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo		*Sudden onset of sensorineural hearing loss, tinnitus, severe vertigo
			*Must be lacking in any other neurologic signs (otherwise consider infarction)

	==Differential Diagnosis==		==Differential Diagnosis==

Kxl328: /* Disposition */

2018-10-19T16:13:40Z

Disposition

← Older revision		Revision as of 16:13, 19 October 2018
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	==Disposition==		==Disposition==
	*Generally may be discharged		*Generally may be discharged
			*Resolution usually in 5-7 days, but can take up to 2 weeks

	==See Also==		==See Also==

Kxl328: /* Middle Ear */

2018-10-19T16:13:03Z

Middle Ear

← Older revision		Revision as of 16:13, 19 October 2018
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	*Decongestants		*Decongestants
	*Consider [[antibiotics]] if [[typmanic membrane ruptured]]		*Consider [[antibiotics]] if [[typmanic membrane ruptured]]
			*Urgent audiology required if sensorineural hearing loss, rather than conductive hearing loss

	====Inner Ear====		====Inner Ear====