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The main symptoms are severe vertigo and nystagmus. The most common symptom of vestibular neuritis is the onset of vertigo that has formed from an ongoing infection or trauma. [ 9 ] The dizziness sensation that is associated with vertigo is thought to be from the inner ear labyrinth. [ 10 ]
Otitis interna, or labyrinthitis, involves the inner ear. The inner ear includes sensory organs for balance and hearing. When the inner ear is inflamed, vertigo is a common symptom. Other symptoms in adults include pain and drainage from ear or problems with hearing. [8]
Otitis media is a group of inflammatory diseases of the middle ear. [2] One of the two main types is acute otitis media (AOM), [3] an infection of rapid onset that usually presents with ear pain. [1] In young children this may result in pulling at the ear, increased crying, and poor sleep. [1] Decreased eating and a fever may also be present. [1]
[2] [3] People with diabetes are at risk of a severe form of malignant otitis externa. [2] Diagnosis is based on the signs and symptoms. [2] Culturing the ear canal may be useful in chronic or severe cases. [2] Acetic acid ear drops may be used as a preventive measure. [3]
Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
During ascent internal over-pressure is normally passively released through the eustachian tube, but if this does not happen the volume expansion of middle ear gas will cause outward bulging, stretching and eventual rupture of the eardrum known to divers as reverse ear squeeze. This damage causes local pain and hearing loss.
Symptoms are believed to occur as the result of increased fluid buildup in the labyrinth of the inner ear. [3] Diagnosis is based on the symptoms and a hearing test. [3] Other conditions that may produce similar symptoms include vestibular migraine and transient ischemic attack. [1] No cure is known. [3]
May see signs of otitis media on exam Pain is located behind the ear with postauricular (i.e. near mastoid process) swelling* Diagnose with CT Chronic suppurative otitis media: Conductive hearing loss Relapsing/remitting or chronic discharge May see perforation of tympanic membrane or cholesteatoma on exam Serous otitis media