Foreign Body, Ear Flashcards
What is the typical history associated with foreign body in the ear?
Sudden onset of ear pain, hearing loss, or a sensation of fullness. History of inserting objects into the ear, common in children. Possible discharge or bleeding.
What are the key physical examination findings in foreign body in the ear?
Visible foreign body in the ear canal. Possible erythema and swelling of the ear canal. Tympanic membrane may be obscured or intact.
What investigations are necessary for diagnosing foreign body in the ear?
Clinical diagnosis based on history and physical exam. No further investigations typically needed unless complications are suspected.
What are the non-pharmacological management strategies for foreign body in the ear?
Avoidance of inserting objects into the ear. Educate on the importance of ear safety. Use of protective headgear in environments where foreign bodies are a risk.
What are the pharmacological management options for foreign body in the ear?
Removal of the foreign body using irrigation, suction, or manual extraction. Topical antibiotics if secondary infection is suspected. Analgesics for pain management.
What are the red flags to look for in foreign body in the ear patients?
Severe pain or bleeding. Signs of infection: redness, swelling, fever. Persistent hearing loss or dizziness.
When should a patient with foreign body in the ear be referred to a specialist?
Refractory or complicated foreign bodies not responding to initial removal attempts. Suspected tympanic membrane perforation or middle ear involvement. Need for specialized removal techniques.
What is one key piece of pathophysiology related to foreign body in the ear?
Introduction of a foreign object into the ear canal. Can cause irritation, infection, or damage to the ear structures. Requires prompt removal to prevent complications.
