Ent Mcq

Acute diffuse OE - commonest type of OE, generally seen in swimmers
Acute localized OE (furunculosis) - related to infection of a follicle
Chronic OE - Same as acute diffuse OE however is of longer period (>6 weeks)
Eczematous (eczematoid) OE - Encompasses numerous dermatological conditions (eg, dermatitis, psoriasis, general autoimmune disease, and eczema) which will infect the EAC o the EAC; happens primarily in upset adults (eg, diabetics, patients with AIDS)
Otomycosis - Infection of the auditory meatus from a plant life species (eg, Candida, Aspergillus)

Signs and symptoms

The key physical finding of OE is pain upon tactual exploration of the cartilaginous structure (anterior to ear canal) or application of traction to the pinna (the hallmark of OE). Patients might also have the subsequent signs and symptoms:

earache - Ranges from delicate to severe, generally progressing over 1-2 days
hearing disorder
Ear fullness or pressure
Erythema, edema, and narrowing of the EAC
Tinnitus
Fever (occasionally)
itch (especially in plant life OE or chronic OE)
Severe deep pain - upset patients might have necrotizing (malignant) OE
Discharge - at first, clear; quickly becomes infected and foetid
inflammation of the face or neck or pathology of the ipsilateral neck (occasionally)
Bilateral symptoms (rare)
History of exposure to or activities in water (frequently) (eg, swimming, surfing, kayaking)
History of preceding ear trauma (usually) (eg, forceful ear improvement, use of cotton swabs, or water within the ear canal).