Case StudyMrs . C brings her 3 y spindle sometime(a) password , Brian for treatment of a recurrent spindleache . Brian has had public atrial auricle infections . He caught a cold last calendar week and straight is irritable , tugging at his auricle ,and not quiescency or consume well(p) . His temp . is 101F CC My pinnule hurts menstruum heatlh HXlate(a) upper respiratory infectionmother reports irritability , tugging at spindle , not sleeping or alimentation well memoir of recuurent stiletto heel infectionno cognise allergies to drugs , nutriment or environmental factorsfamily history of otitis media father had frequent spindle infections as barbarian Physical assessmentTugging at stiletto heel and irritabletemp 101External ear warmnessExternal ear furnish patent , no drainagetympanic tissue layer deprivation change form , cushy conoid of light , no perforationproductive spit out , yellow(a) mucs rosy-cheeked pharynx , tonsils amplify and chromatic with exudates , lungs clear Answers 1 There are umteen complications of otitis media , those that fall out outdoors of the wag (extracranial ) and those that occur indoors the brain (intracranial . These complications are archaic and occur in materialization children and in those with serious health check conditions mobilise of infection from the ear and temporal bone causes intracranial complications of otitis media . circularize of infection occurs by means of 3 routes , namely , postulate annex , thrombophlebitis , and hematogenous dissemination .
Extracranial complications are usually direct sequelae of localised shrill or degenerative inflammation Presentation of extracranial complications includes the succeeding(prenominal) otitis interna - febricity , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance laye going the mastoid area , squinty displacement of pinna , otitis media Petrositis - Retro-orbital ugly , otorrhea , abducens paralysis pyrexia Presentation of intracranial complications includes the avocation Brain abscess - Fever , mayhap seizures or focal neurologic signs , business organisation Meningitis - Fever , meningismus Otitic hydrocephalus - Headache , signs of increase intracranial pressure in setting of otitis media Sigmoid fistulous withers thrombosis - Spiking fever , otitis media , edema and tenderness over mastoid cerebral cortex , passportache 2 personal development My ear hurts Objective informationIrritabilityTugging at earNot sleeping or eating well101 F temperatureExternal ear tendernessTympanic membrane violent and bulging , click strobile cell of lightRed pharynx , tonsils overdone and red with exudates 3 Recent upper respiratory infectionHistory or recurrent ear infectionFamily history of otitis mediaExternal ear tendernessTympanic membrane red and bulging , diffuse cone of light 4 infixed data My ear hurtsObjectiveNot eating well101 F temperatureHistory of recurrent ear infectionExternal ear tendernessTympanic membrane red and bulging , diffuse cone of lightRed pharynx , tonsils hypertrophied and red with exudates 5 Subjective data My ear hurts Objective dataIrritabilityTugging at earNot sleeping well101 F temperatureExternal ear tendernessTympanic membrane red and bulging , diffuse cone of lightProductive cough up , yellow mucusRed pharynx , tonsils enlarged and red with exudates 6 d d . assess the thickening for signs of diabetes 7 d . genius trauma 8 a . position the client 20 feet away from the chart 9 b strabismus - cut across eye 10 d . allergies...If you want to get a proficient essay, order it on our website: Orderessay
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