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    Otalgia-workup plan

    Eye & ENT Care
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    • B
      Bodhisatva last edited by

      I am having earache since a few days, what investigations are required for the diagnosis?

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      • A
        Aruna @Bodhisatva last edited by

        @bodhisatva requently, the workup suggests that otalgia may be a problem of dental origin.

        A complete blood count may indicate an occult infection. Thyroid function and erythrocyte sedimentation rate (ESR) studies may reveal thyroiditis and temporal arteritis.

        The perception of aural fullness may be described as ear pain and is observed in conditions associated with endolymphatic hydrops and Eustachian tube dysfunction. [3]

        Ménière disease can be diagnosed by history, audiometrics, and a battery of laboratory tests.

        In the absence of obvious fluid within the middle ear, aural fullness secondary to Eustachian tube dysfunction may manifest with a practically imperceptible bulging or retraction of the tympanic membrane. If autoinsufflation is not effective in relieving this pressure, consider a diagnostic myringotomy.

        Imaging studies can include the following:

        Dental radiography
        Chest radiography
        Computed tomography (CT) scanning
        Magnetic resonance imaging (MRI)
        Panorex imagery
        Positron emission tomography (PET) scanning
        Other tests include the following:

        Audiography
        Vestibulocochlear testing
        Nasal endoscopy
        Upper aerodigestive tract endoscopy, laryngoscopy
        Blood tests
        When the history and physical examination findings are inconclusive, use of local anesthesia may help localize the problem.

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