Clinical Case Database / Category: Patient Management
The painful ear: assessment and management
Publication details
Katherine Sheard MBBCh, Stephanie Edwards MBChB, MRCS, Vinod Prabhu FRCS
Foundation Years Journal, volume 7, issue 4, p.67 (123Doc Education, London, April 2013)
Abstract
Ear pain, or otalgia, is a common symptom encountered throughout a variety of hospital based specialities. In this paper the causes of otalgia, anatomy, investigations and basic management of common and important underlying conditions are discussed in order to provide junior doctors with a systematic framework for approaching the patient with otalgia.
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Authors
Katherine Sheard MBBCh
General Practice Year 2
Singleton Hospital
ENT SHO
sheardkl@cardiff.ac.uk
Stephanie Edwards MBChB, MRCS
Core Surgical Training Year 2
Singleton Hospital
Vinod Prabhu FRCS
ENT Registrar
Singleton Hospital
References
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2. Shah RK, Blevins NH. Otalgia. Otolaryngol Clin North Am. 2003; 36(6):1137-1151.
3. Weissman JL. A Pain in the Ear: The Radiology of Otalgia. AJNR. 1997;18:1641-1651.
4. Leung AK, Fong JH, Leong AG. Otalgia in Children. J Natil Med Assoc. 200;92:254-260.
5. Ely J, Hansen M, Clark E. Diagnosis of ear pain. American Family Physician. 2008;77(5): 621-628.
6. Siddiq M A, Samra M J. Otalgia, 10 minute consultation. British Medical Journal. 2008; 336:276-277
7. Centor RM. Witherspoon JM, Dalton HP et. al. The diagnosis of strep throat in the emergency room. Meds Dec Making. 1981; 1:239
8. Turner J. Otalgia and Otorrhoea. In: Walker HK, Hall WD, Hurst JW, (eds). Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.Boston: Butterworths; 1990. p601-603.
9. National Institute for Health and Clinical Excellence. CG27. Referral guidelines for suspected cancer. http://publications.nice.org.uk/referralguidelines-for-suspected-cancer-cg27/guidance#head-and-neck-cancerincluding-thyroid-cancer (accessed 24 June 2012)
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.