ITEMS IN AFP WITH KEYWORD:
Tinnitus is the perception of sound in the absence of an objective internal or external source. Tinnitus is a symptom, not a disease, and although it is typically not associated with a dangerous condition, it can significantly affect an individual’s quality of life. Guidelines recommend a standard approach to history and physical examination to determine the etiology, followed by audiometric testing and imaging, laboratory studies, and other testing as appropriate. Cognitive behavior therapy is the only treatment that has shown to improve quality of life in patients with tinnitus. Avoidance of noise exposure may help prevent the development or progression of tinnitus.
The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose amoxicillin, and lowest with azithromycin (Zithromax).
Acute otitis media, the most common diagnosis in childhood acute sick visits, can cause ear pain, fever, irritability, otorrhea, anorexia, and sometimes vomiting and lethargy. Treatment usually consists of pain management and antibiotics. However, observation with deferment of initial antibiotics is an option in some children without severe symptoms. Pneumococcal and influenza vaccines and exclusive breastfeeding until at least six months of age can reduce the risk of acute otitis media.
Feb 15, 2019 Issue
Otalgia, Preeclampsia, Latent Tuberculosis, Pityriasis Rosea, Extremity Pain [AFP Clinical Answers]
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Although cerumen production is a normal and protective process for the ear canal, impaction can cause symptoms or prevent assessment of the external auditory canal, tympanic membrane, or audiovestibular system. Find out when impaction should be treated, which home treatment methods are effective, and when to refer patients to an otolaryngologist.
This meta-analysis concludes that the risk of a prolonged course of antibiotics was twice as high for children younger than two years with bilateral acute otitis media than for children two years and older with unilateral acute otitis media, indicating that antibiotics might be beneficial in resolut...
When patients present with otalgia, the first step is to determine whether the pain is originating from inside or outside the ear. Review the history and physical examination findings that can help identify the diagnosis, as well as the risk factors that may indicate a more serious condition.
Aug 15, 2017 Issue
Cerumen Impaction: An Updated Guideline from the AAO—HNSF [Practice Guidelines]
This update from the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) provides guidance for persons older than six months diagnosed with cerumen impaction.
Tinnitus, the perception of sound without an external source, can be caused by a variety of conditions. Prevalence in the United States is approximately 10% to 15%. It can be categorized as primary (idiopathic and accompanied by or not by sensorineural hearing loss) and secondary (caused by a specif...
Nov 15, 2014 Issue
AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa [Practice Guidelines]
A diagnosis of acute otitis externa (AOE) requires sudden onset (e.g., within 48 hours) within the past three weeks of symptoms (e.g., otalgia, itching, fullness, hearing loss, jaw pain) and signs (e.g., tenderness of the tragus or pinna) indicating inflammation of the ear canal. Because there is a ...