What Causes Irritability?
Discussion Child abuse or non-accidental trauma is a clinical diagnosis. It is the constellation of history, physical examination, radiographic evaluation, laboratory testing and investigation that determines if child abuse has occurred. Irritability caused by fractures or other trauma can be a presenting symptom of abuse. Fractures can be a presentation but they are also common problems not associated with abuse. Femoral shaft fractures are estimated to account for only 1.6% of all fractures in children, therefore they are potentially more suspicious for child abuse. A review of femur fractures can be found here. A review...
Source: PediatricEducation.org - October 18, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

What Is In That Ear?
Discussion The external auditory canal mainly derives from the ectoderm however it abuts other structures which arise from mesodermal or endodermal tissues. The lateral 1/3 is primarily cartilaginous with the inner 2/3rd being bony with the tympanic, temporal and mastoid bone forming various parts. The canal is lined with squamous epithelium and has various structures such as sebaceous glands, hair follicles and of course ceruminous glands. It is not surprising that this structure is subject to obstruction given its small size. Cerumen, hair and other cellular debris may become impacted if they are not regularly expelled f...
Source: PediatricEducation.org - October 11, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

What Causes Facial Pain?
Discussion Dental caries are one of the most common infections. It is usually caused by Streptococcus viridans. Dental caries are also quite preventable with brushing the teeth at least twice a day with a fluoridated dentifrice, use of dental floss, and preventative dental appointments with application of fluoride varnish and sealants as appropriate. Fluoridated water supplies also help. A review can be found here. Facial pain is often acute, self-limited and etiologies that may be obvious such as trauma or infection. Facial pain can also overlap with cranial pain (mainly headache), neck pain (often lymphadenopathy or musc...
Source: PediatricEducation.org - October 4, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Mayo Clinic Q and A: Swimmer's ear
DEAR MAYO CLINIC: My daughter is 7 and has been taking swim lessons this summer. She has been complaining about her ears hurting, and our pediatrician diagnosed her with otitis externa and prescribed eardrops. What is otitis externa, and how do I prevent it in the future? ANSWER: Otitis externa is an infection in the outer ear canal, which runs from the eardrum to the outside of the head. The condition is also known as swimmer's ear… (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - September 28, 2021 Category: Databases & Libraries Source Type: news

Swimmer's Ear
(Otitis Externa) (Source: eMedicineHealth.com)
Source: eMedicineHealth.com - August 20, 2021 Category: General Medicine Source Type: news

Secondhand Marijuana Smoke Tied to Respiratory Infections in Children
However, no negative impact seen on emergency department or urgent care visits, otitis media episodes, or asthma exacerbations (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - August 10, 2021 Category: Respiratory Medicine Tags: Family Medicine, Infections, Internal Medicine, Pediatrics, Pharmacy, Pulmonology, Anesthesiology & amp; Pain, Journal, Source Type: news

Ear Tubes No Better Than Antibiotics for Otitis Media Ear Tubes No Better Than Antibiotics for Otitis Media
Tympanostomy tubes were not superior to antibiotic treatment for recurrent acute otitis media.Medscape Medical News (Source: Medscape Infectious Diseases Headlines)
Source: Medscape Infectious Diseases Headlines - May 13, 2021 Category: Infectious Diseases Tags: Pediatrics News Source Type: news

Tympanostomy-Tube Placement No Better for Recurrent Otitis Media
THURSDAY, May 13, 2021 -- For young children with recurrent otitis media, the rate of episodes of acute otitis media is not significantly lower with tympanostomy-tube placement versus medical management during the ensuing two-year period, according... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - May 13, 2021 Category: Pharmaceuticals Source Type: news

What Works Best to Ease Recurrent Ear Infections in Kids?
THURSDAY, May 13, 2021 -- Frequent middle-ear infections are the nemesis of many parents and young children. Now a new study suggests that a common treatment -- " ear tubes " -- may not prevent future bouts. Middle-ear infections (or acute otitis... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - May 13, 2021 Category: General Medicine Source Type: news

Otitis externa
Review notes that in 98% of cases the cause is bacterial, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute uncomplicated otitis externa can be managed effectively with topical treatments, for up to 14 days if required. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 6, 2021 Category: Consumer Health News Source Type: news

Special Collection - Chronic suppurative otitis media: effectiveness of non-surgical treatments
Supported byCochrane Ear ,Nose and Throat anew Cochrane Library Special Collection curates the latest Cochrane evidence on non-surgical treatments for chronic suppurative otitis media (CSOM).  CSOM is estimated to have a global incidence of 31 million episodes per year, disproportionately affecting people at socio-economic disadvantage.  Many people who are affected by CSOM do not have good access to modern primary healthcare, let alone specialised ear, nose and throat care. Given this evidence need, Cochrane ENT have prioritized the production of systematic reviews on non-surgical treatments for CSOM. This up-to...
Source: Cochrane News and Events - March 2, 2021 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Who Gets Pott ’ s Puffy Tumor?
Discussion Pott’s puffy tumor (PPT) was first described by Sir Percivall Pott in 1775 and who also described other orthopaedic and oncological diseases subsequently named for him. “It is a subperiosteal abscess of the anterior wall of the frontal sinus associated with underlying frontal osteomyelitis.” The tender edema and swelling of the forehead is the sign of PPT. Associated fever, headache, and rhinorrhea along with similar problems such as postnasal drip or nasal congestion are common. Associated ophthalmological problems include peri-orbital or eyelid edema and/or preseptal cellulitis. Ptosis and di...
Source: PediatricEducation.org - March 1, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

What Are Potential Complications of Hearing Aids?
Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensorineuronal or conductive, about half of hearing loss in children has a genetic cause), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss> 90 dB. Hearing loss can affect the living and learning of children more than many people realize. “A child with a mild hearing loss can ...
Source: PediatricEducation.org - February 1, 2021 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

EMedHome's Clinical Pearl: Red Flags for Diagnosing Malignant Otitis Externa
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - October 29, 2020 Category: Emergency Medicine Tags: EMedHome's Clinical Pearl Source Type: news

What to D.O.: Perichondritis Often Mistaken for Otitis Externa
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - October 1, 2020 Category: Emergency Medicine Tags: What to D.O. Source Type: news

Antibiotic use and serious complications following acute otitis media and acute sinusitis: a retrospective cohort study
Data from patients diagnosed with acute otitis media (AOM) or acute sinusitis (AS) over 20-yr period concludes serious complications (brain abscess/acute mastoiditis) following AOM or AS are rare, and antibiotics are associated with lower odds of developing these complications. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - March 12, 2020 Category: Consumer Health News Source Type: news

What Causes Neutropenia?
Discussion Neuropenia is defined as a neutrophil count
Source: PediatricEducation.org - March 2, 2020 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Cincinnati startup licenses technology invented by renowned children ’s hospital
Blue Water Vaccines Inc., a Norwood startup, has entered into an exclusive worldwide license agreement with St. Jude Children ’s Research Hospital to develop a vaccine for Streptococcus pneumoniae. The bacteria can cause many kinds of diseases, including the lung infection pneumonia. “A major limitation of the currently licensed pneumococcal vaccines is the lack of efficacy against mucosal disease manifestations such as acute otitis media, acute bacterial sinusitis and pneumonia,” Blue Water… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 10, 2020 Category: Pharmaceuticals Authors: Barrett J. Brunsman Source Type: news

Should We Worry About Bicuspid Aortic Valve?
Discussion The aortic valve usually has 3 leaflets. In bicuspid aortic valve (BAV) there are 2 asymmetric leaflets with a fish-mouthed orifice between them which may not open fully. It occurs in about 0.5-2% of the population making it one of the most common congenital heart anomalies and the most common one in adults. Transmission is autosomal dominant yet males are more likely to have BAV, indicating potential reduced penetrance in females. “BAVs are different, however, in that the tissue pathology is not limited to the valves’ leaflets but extends from the left ventricular outflow tract to the ascending thor...
Source: PediatricEducation.org - January 27, 2020 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

The impact of hearing impairment on the life trajectories of Aboriginal children in remote Australia: protocol for the Hearing Loss in Kids Project - Su JY, He VY, Guthridge S, Silburn S.
BACKGROUND: Previous studies have reported a high prevalence of chronic otitis media (OM) and hearing impairment (HI) in Aboriginal children in the Northern Territory (NT) of Australia. Children affected by these disorders are believed to be at increased r... (Source: SafetyLit)
Source: SafetyLit - January 18, 2020 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

2019 exceptional surveillance of respiratory tract infections (self-limiting): prescribing antibiotics (NICE guideline CG69)
This Surveillance Report provides a summary of new evidence published related to the NICE guideline CG69: NICE will withdraw this guideline and incorporate any relevant evidence into relevant antimicrobial prescribing guidelines on sinusitis, sore throat, otitis media and cough. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - October 10, 2019 Category: Consumer Health News Source Type: news

Only Half of Ear, Nose, Throat Infections Receive Recommended Antibiotics
WEDNESDAY, Oct. 2, 2019 -- In outpatient settings, only 50 percent of visits for pharyngitis, sinusitis, and acute otitis media (AOM) receive recommended first-line antibiotics, according to a study published online Sept. 23 in Antimicrobial Agents... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - October 2, 2019 Category: Pharmaceuticals Source Type: news

Swimmer's Ear (External Otitis)
Title: Swimmer's Ear (External Otitis)Category: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 9/9/2019 12:00:00 AM (Source: MedicineNet Hearing General)
Source: MedicineNet Hearing General - September 9, 2019 Category: Audiology Source Type: news

Probiotics for preventing acute otitis media in children
This Systematic Review concludes that Probiotics may prevent AOM in children not prone to AOM, but the inconsistency of the subgroup analyses suggests caution in interpreting these results. Probiotics decreased the proportion of children taking antibiotics for any infection. The proportion of children experiencing adverse events did not differ between the probiotic and comparator groups. The optimal strain, duration, frequency, and timing of probiotic administration still needs to be established. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - September 5, 2019 Category: Consumer Health News Source Type: news

Antibiotic stewardship: duration of antibiotic treatment for common infections frequently exceeds guideline recommendations
A large cross-sectional study of UK prescribing data found that the duration of antibiotic prescriptions for common infections in primary care frequently exceeded national guideline recommendations. The most common reason for antibiotic prescribing was for respiratory infections, and more than 80% of prescriptions for acute cough and bronchitis, acute sore throat, acute otitis media and acute exacerbations of COPD were for longer than recommended. Substantial reductions in antibiotic exposure can be achieved by prescribing antibiotics in line with NICE and Public Health England guidance on managing common infections. (Sour...
Source: Current Awareness Service for Health (CASH) - July 12, 2019 Category: Consumer Health News Source Type: news

Consumer Health: Enjoy the water -- avoid swimmer's ear
Swimmer's ear It's summertime, and the pools are busy. And more swimming may mean swimmer's ear, or otitis externa. Swimmer's ear is an infection in the outer ear canal, which runs from your eardrum to the outside of your head. Often, the cause is water that remains in your ear after swimming, creating a moist [...] (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - July 11, 2019 Category: Databases & Libraries Source Type: news

Middle Ear Infection (Otitis Media)
Title: Middle Ear Infection (Otitis Media)Category: Diseases and ConditionsCreated: 12/31/1997 12:00:00 AMLast Editorial Review: 7/11/2019 12:00:00 AM (Source: MedicineNet Hearing General)
Source: MedicineNet Hearing General - July 11, 2019 Category: Audiology Source Type: news

Pneumococcal Conjugate Vaccine in Infancy Cuts Otitis Media Pneumococcal Conjugate Vaccine in Infancy Cuts Otitis Media
Administration of pneumococcal conjugate vaccine (PCV) in early infancy substantially reduces the risk of pneumococcal acute otitis media (AOM), according to a new Cochrane review.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 19, 2019 Category: Consumer Health News Tags: Pediatrics News Source Type: news

What Causes Facial Nerve Palsy?
Discussion Facial nerve palsy has been known for centuries, but in 1821 unilateral facial nerve paralysis was described by Sir Charles Bell. Bell’s palsy (BP) is a unilateral, acute facial paralysis that is clinically diagnosed after other etiologies have been excluded by appropriate history, physical examination and/or laboratory testing or imaging. Symptoms include abnormal movement of facial nerve. It can be associated with changes in facial sensation, hearing, taste or excessive tearing. The right and left sides are equally affected but bilateral BP is rare (0.3%). Paralysis can be complete or incomplete at prese...
Source: PediatricEducation.org - June 3, 2019 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Letter to the Editor: Ophthalmic v. Optic Drops for Otitis Externa
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - April 1, 2019 Category: Emergency Medicine Tags: Letter to the Editor Source Type: news

Letter to the Editor: Eye Drops for Otitis Externa
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - April 1, 2019 Category: Emergency Medicine Tags: Letter to the Editor Source Type: news

InFocus: Acute Otitis Externa Pain Can Be Severe, but Relief Can Be Had in the ED
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - February 1, 2019 Category: Emergency Medicine Tags: InFocus Source Type: news

Otitis Media | Medscape Otitis Media | Medscape
Review in-depth clinical information, latest medical news, and guidelines about otitis media and ear infection treatment, including ear infection antibiotics. Recognize inner-ear infection symptoms in infants. (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - January 18, 2019 Category: Consumer Health News Tags: Resource Center Source Type: news

New study aims to reduce the use of oral antibiotics for ear infections in children
Middle ear infections, known medically as acute otitis media (AOM), are common painful infections in children, for which there are up to three million treatment episodes in England and Wales each year. They are often treated with antibiotics by mouth. However, these can cause side effects like rashes, diarrhoea and vomiting, and their over-use contributes to the growing global health threat of antibiotic resistance. Researchers from the Universities of Bristol, Southampton, King ’ s College London and Imperial College London, are collaborating on a new study to investigate alternative treatments, which they hope will...
Source: University of Bristol news - November 16, 2018 Category: Universities & Medical Training Tags: Health, International, Research; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences; Press Release Source Type: news

Genetic Variants May Be Tied to Otitis Media Risk Genetic Variants May Be Tied to Otitis Media Risk
Population-specific FUT2 variants appear to confer risk for otitis media susceptibility in multiple cohorts of different ethnicity, according to a multinational group of researchers.Reuters Health Information (Source: Medscape Pathology Headlines)
Source: Medscape Pathology Headlines - November 12, 2018 Category: Pathology Tags: Family Medicine/Primary Care News Source Type: news

How pneumococci challenge our immune system
(Karolinska Institutet) Pneumococci are the most common cause of respiratory tract infections, such as otitis and sinusitis, as well as of severe infections like pneumonia and meningitis. A new study from Karolinska Institutet in Sweden published in Nature Microbiology shows how the bacteria can inhibit immune cell reaction and survive inside cells to give rise to pneumonia. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 12, 2018 Category: International Medicine & Public Health Source Type: news

Herbal remedies to treat ear infections
(Natural News) There are natural ways to relieve symptoms of ear infections. You need not resort to antibiotics, which may or may not be effective. There is data that suggest that mild ear infections (otherwise called acute otitis externa) usually go away on their own and do not improve with antibiotics. However, you can help... (Source: NaturalNews.com)
Source: NaturalNews.com - September 3, 2018 Category: Consumer Health News Source Type: news

What is the Difference Between Nightmares and Night Terrors?
Discussion Sleep disorders are common in all ages particularly with sleep deprivation in our increasingly busy world. Sleep problems are more common in patients with attention deficit hyperactivity disorder, epilepsy, headache and visual impairments. Sleep problems can cause cognitive and behavioral impairments including emotional regulation problems, increased seizures or headaches, and impaired attention and have been known to prolong recovery from various acquired brain injuries. Parasomnias are “undesirable events that accompany sleep and typically occur during sleep-wake transitions.” The term sleep terr...
Source: PediatricEducation.org - August 27, 2018 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

News: Diagnosing Otitis Media? Pneumatic Otoscopy Simplified
No abstract available (Source: Emergency Medicine News)
Source: Emergency Medicine News - July 1, 2018 Category: Emergency Medicine Tags: News Source Type: news

Consumer Health: Don't let swimmer's ear spoil the fun
Swimmer's ear? It's summertime, and the pools are busy. And more swimming may mean swimmer's ear, or otitis externa. Swimmer's ear is an infection in the outer ear canal, which runs from your eardrum to the outside of your head. Often, the cause is water that remains in your ear after swimming, creating a moist [...] (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - June 29, 2018 Category: Databases & Libraries Source Type: news

What Is the Scope of Practice for Pediatric Care for Chiropractic Doctors?
Discussion “Chiropractic is a health care profession concerned with the diagnosis, treatment, and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.” Some people look at chiropractic care solely as spinal manipulative therapy (SMT) or manipulation. Chiropractic physicians also offer a variety of other treatments including nutritional advice, dietary or herbal supplements, therapeutic exercise, posture correction and behavioral counseling. Spinal muscle therapy or spinal manipulation is one of the most common complementary, integrative, and alternati...
Source: PediatricEducation.org - June 18, 2018 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

NICE Bites; Respiratory Tract Infections (acute) antimicrobial prescribing
This monthly prescribing bulletin summarises key recommendations from NICE guidance. The latest topics are acute sore throat and otitis media. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - June 13, 2018 Category: Consumer Health News Source Type: news

Correlation between secondhand marijuana and tobacco smoke exposure and children ED visits
The objective of this study was to determine association between SHMS exposure and rates of emergency department visitation, and rates of tobacco sensitive conditions (asthma, otitis media and viral respiratory infections). (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 5, 2018 Category: International Medicine & Public Health Source Type: news

Otitis media (acute): antimicrobial prescribing
This guideline was published in March 2018. It aims to limit antibiotic use and reduce antimicrobial resistance. It highlights that acute otitis media can be caused by viruses or bacteria, lasts for about a week, and most children get better in 3 days without antibiotics. Serious complications are rare. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 6, 2018 Category: Consumer Health News Source Type: news

Case Challenge: Acute Otitis Media in Children Case Challenge: Acute Otitis Media in Children
The principles of appropriate management of AOM in children are illustrated by Dr Gordon Sun in these clinical cases.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 28, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Case Challenge Source Type: news

Otonomy Announces FDA Approval of Otiprio (ciprofloxacin otic suspension) for Acute Otitis Externa
SAN DIEGO, March 02, 2018 (GLOBE NEWSWIRE) -- Otonomy, Inc. (NASDAQ:OTIC), a biopharmaceutical company dedicated to the development of innovative therapeutics for otology, today announced that the U.S. Food and Drug Administration (FDA) has approved... (Source: Drugs.com - New Drug Approvals)
Source: Drugs.com - New Drug Approvals - March 2, 2018 Category: Drugs & Pharmacology Source Type: news

World Antibiotic Awareness Week
Professor Dame Sally Davies, England's Chief Medical Officer, recently warned that the world could face a  " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark   World Antibiotic Awareness Week, 12th-18th November 2018,  we are highlighting Cochrane  evidence which supports decision-making in the appropriate use of antibiotics.&nb...
Source: Cochrane News and Events - November 16, 2017 Category: Information Technology Authors: Muriah Umoquit Source Type: news

Acute Otitis Media in Young Children Today Acute Otitis Media in Young Children Today
A recent epidemiologic study paints a picture of early childhood AOM in the pneumococcal vaccine era.Medscape Pediatrics (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 15, 2017 Category: Consumer Health News Tags: Pediatrics Viewpoint Source Type: news

World Antibiotic Awareness Week
Professor Dame Sally Davies, England's Chief Medical Officer, recently warned that the world could face a  " post-antibiotic apocalypse.” She urged that, unless action is taken to halt the practices that have allowed antibiotic resistance to spread and ways are found to develop new types of antibiotics, we could return to the days when simple wounds, infections or routine operations, are life-threatening. To mark   World Antibiotic Awareness Week, 13th-19th November,  we are highlighting Cochrane  evidence which supports decision-making in the appropriate use of antibiotics. Pr...
Source: Cochrane News and Events - November 13, 2017 Category: Information Technology Authors: Muriah Umoquit Source Type: news