The presenting symptoms of the patient in this scenario, with the rapid onset, ear pain, fever and hearing loss are the classic presenting symptoms of acute otitis externa (Hajioff & MacKeith, 2015). Otitis media also presents with ear canal inflammation, and mimics the symptoms of otitis externa, especially if the tympanic membrane is involved (Rosenfeld et al., 2014). Dermatoses if occurring in the ear canal also presents with erythema, pain, and itching (Hajioff & MacKeith, 2015). Contact dermatitis of the ear canal is also a possible diagnosis as this condition presents with inflammation of the skin, with the resultant release of inflammatory
mediators from damaged epidermal cells causing erythema, edema, scaling, itch, and occasional pain (Rosenfeld et al., 2014). F urunculosis, which is the presence of an infected hair follicle on the outer third of the ear canal, can also present with otalgia, otorrhea, localized tenderness, focal swelling, and pustular lesions (Rosenfeld et al., 2014). References Hajioff, D. & MacKeith, S. (2015). Otitis externa. BMJ Clinical Evidence. Retrieved September 2018, from . Rosenfeld, R.M., Schwartz, S.R., Cannon, C.R., Roland, P.S., Simon, G.R., Kumar, K.A., Huang, W.W., Haskell, H.W. & Robertson, P.J. (2014). Acute Otitis Externa. Clinical Practice Guideline. DOI: . Hui, C.P.S. and Canadian Paediatric Society. (2013). Acute otitis externa. Pediatric Child Health. Vol. 18(2). Pp. 96-98. Retrieved September 2018, from . Response 1 Silifat, Great work on your discussion post. I agree that the primary diagnosis for this patient is allergic rhinitis. Inflammation of the nasal mucosa due to exposure to irritants result in itching/sneezing, nasal discharge, nasal congestion, with pain and congestion resulting from affected sinuses (Holmes & Scullion, 2012). Infectious rhinitis and acute sinusitis are both infectious processes that present with green or yellow nasal discharge and elevated body
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- Summer '15
- Otitis Externa, Inflammations