eMedicine Specialties > Emergency Medicine > Ear, Nose, & Throat

Otitis Media: Multimedia

Author: Brenda Liz Natal, MD, Clinical Assistant Instructor and Staff Physician, Department of Emergency Medicine, Kings County Hospital and State University of New York Downstate, Brooklyn
Coauthor(s): Jennifer H Chao, MD, FAAP, Clinical Assistant Professor of Pediatric Emergency Medicine, University Hospital of Brooklyn; Attending Physician, Pediatric Emergency Department, Kings County Hospital, Brooklyn
Contributor Information and Disclosures

Updated: Nov 2, 2009

Multimedia

Drawing of a normal right tympanic membrane. Note...
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Media file 1: Drawing of a normal right tympanic membrane. Note the outward curvature of the pars tens (*) of the eardrum. The tympanic annulus is indicated anteriorly (a), inferiorly (i), and posteriorly (P). M = long process of the malleus; I = incus; L = lateral (short) process of the malleus.
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Drawing of a normal right tympanic membrane. Note...

Drawing of a normal right tympanic membrane. Note the outward curvature of the pars tens (*) of the eardrum. The tympanic annulus is indicated anteriorly (a), inferiorly (i), and posteriorly (P). M = long process of the malleus; I = incus; L = lateral (short) process of the malleus.

Tympanic membrane of a person with 12 hours of ea...
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Media file 2: Tympanic membrane of a person with 12 hours of ear pain, slight tympanic membrane bulge, and slight meniscus of purulent effusion at bottom of tympanic membrane. Reproduced with permission from Isaacson G: The natural history of a treated episode of acute otitis media. Pediatrics. 1996; 98(5): 968-7. See also Media file 3.
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Tympanic membrane of a person with 12 hours of ea...

Tympanic membrane of a person with 12 hours of ear pain, slight tympanic membrane bulge, and slight meniscus of purulent effusion at bottom of tympanic membrane. Reproduced with permission from Isaacson G: The natural history of a treated episode of acute otitis media. Pediatrics. 1996; 98(5): 968-7. See also Media file 3.

Days after onset of symptoms, vessels continue ac...
(Enlarge Image)
Media file 3: Days after onset of symptoms, vessels continue across pars tensa, and a fluid layer of pus is noted. Reproduced with permission from Isaacson G: The natural history of a treated episode of acute otitis media. Pediatrics. 1996; 98(5): 968-7. See also Media file 2.
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Days after onset of symptoms, vessels continue ac...

Days after onset of symptoms, vessels continue across pars tensa, and a fluid layer of pus is noted. Reproduced with permission from Isaacson G: The natural history of a treated episode of acute otitis media. Pediatrics. 1996; 98(5): 968-7. See also Media file 2.

Tympanic membrane.
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Media file 4: Tympanic membrane.
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Tympanic membrane.

Tympanic membrane.

More on Otitis Media

Overview: Otitis Media
Differential Diagnoses & Workup: Otitis Media
Treatment & Medication: Otitis Media
Follow-up: Otitis Media
Multimedia: Otitis Media
References
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References

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  2. [Best Evidence] [Guideline] American Academy of Pediatrics. Diagnosis and management of acute otitis media. Pediatrics. May 2004;113(5):1451-65. [Medline].

  3. McCaig LF, Besser RE, Hughes JM. Trends in antimicrobial prescribing rates for children and adolescents. JAMA. Jun 19 2002;287(23):3096-102. [Medline]. [Full Text].

  4. Soni A. Ear Infections (Otitis Media) in Children (0-17): Use and Expenditures, 2006. Rockville, MD: Agency for Healtcare Research and Quality; December 2008. Statistical Brief #228. [Full Text].

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  7. Pichichero ME. Diagnostic accuracy, tympanocentesis training performance, and antibiotic selection by pediatric residents in management of otitis media. Pediatrics. Dec 2002;110(6):1064-70. [Medline]. [Full Text].

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Further Reading

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Keywords

OM, otitis media, ear infection, otitis media symptoms, otitis media causes, otitis media treatment, middle ear inflammation, acute otitis media, AOM, middle ear infection, middle ear effusion, MEE, otitis media with effusion, OME, bulging tympanic membrane, upper respiratory infection, viral infection

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Contributor Information and Disclosures

Author

Brenda Liz Natal, MD, Clinical Assistant Instructor and Staff Physician, Department of Emergency Medicine, Kings County Hospital and State University of New York Downstate, Brooklyn
Brenda Liz Natal, MD is a member of the following medical societies: American College of Emergency Physicians and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Jennifer H Chao, MD, FAAP, Clinical Assistant Professor of Pediatric Emergency Medicine, University Hospital of Brooklyn; Attending Physician, Pediatric Emergency Department, Kings County Hospital, Brooklyn
Jennifer H Chao, MD, FAAP is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

Medical Editor

Jerry Balentine, DO, Professor of Emergency Medicine, New York College of Osteopathic Medicine; Executive Vice President, Chief Medical Officer, Attending Physician in Department of Emergency Medicine, St. Barnabas Hospital
Jerry Balentine, DO is a member of the following medical societies: American College of Emergency Physicians, American College of Osteopathic Emergency Physicians, American College of Physician Executives, American Osteopathic Association, and New York Academy of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Mark W Fourre, MD, Program Director, Department of Emergency Medicine, Maine Medical Center; Associate Clinical Professor, Department of Surgery, University of Vermont School of Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Pamela L Dyne, MD, Professor of Clinical Medicine/Emergency Medicine, David Geffen School of Medicine at UCLA; Attending Physician, Department of Emergency Medicine, Olive View-UCLA Medical Center
Pamela L Dyne, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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