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    Objects in Auditory Canal

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    hsnlkhtmhsdrm
    This document describes a case report of a 49-year-old female patient who presented with ear pain and yellowish discharge from her right ear that had been ongoing for one week. On examination, a foreign object (cotton bud head) was found obstructing the external auditory canal of the right ear, and the tympanic membrane on that side had a central perforation. The patient reported a history of ear discharge since age 13. The primary diagnosis was an active case of right-sided chronic suppurative otitis media.

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    Objects in Auditory Canal

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    hsnlkhtmhsdrm
    83 views28 pages
    This document describes a case report of a 49-year-old female patient who presented with ear pain and yellowish discharge from her right ear that had been ongoing for one week. On examination, a foreign object (cotton bud head) was found obstructing the external auditory canal of the right ear, and the tympanic membrane on that side had a central perforation. The patient reported a history of ear discharge since age 13. The primary diagnosis was an active case of right-sided chronic suppurative otitis media.

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    This document describes a case report of a 49-year-old female patient who presented with ear pain and yellowish discharge from her right ear that had been ongoing for one week. On examination, a foreign object (cotton bud head) was found obstructing the external auditory canal of the right ear, and the tympanic membrane on that side had a central perforation. The patient reported a history of ear discharge since age 13. The primary diagnosis was an active case of right-sided chronic suppurative otitis media.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    83 views28 pages

    Objects in Auditory Canal

    Uploaded by

    hsnlkhtmhsdrm
    This document describes a case report of a 49-year-old female patient who presented with ear pain and yellowish discharge from her right ear that had been ongoing for one week. On examination, a foreign object (cotton bud head) was found obstructing the external auditory canal of the right ear, and the tympanic membrane on that side had a central perforation. The patient reported a history of ear discharge since age 13. The primary diagnosis was an active case of right-sided chronic suppurative otitis media.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 28

    OBJECTS IN AUDITORY CANAL

    auricle (it is cartilage)


    auditory canal (also
    called the ear canal)
    eardrum outer layer
    (tympanic membrane)
    Anatomy
    of the
    outer ear
    Sound funnels through
    the pinna into the
    external auditory
    canal, that ends at the
    eardrum.
    Function
    OBJECTS IN AUDITORY CANAL

    In small children

    green beans,
    toys, rubber
    eraser, and
    sometimes the
    battery.
    In adults

    cotton bud head,
    broken pencils,
    small insects
    such as ants
    Remove the
    objects should be
    careful. If
    uncooperative
    patients, could be
    at risk of trauma
    to the tympanic
    membrane or
    middle ear
    structures.
    CASE REPORT
    Identity of patient
    Name : Mrs. N
    No. MR :
    Age : 49 years old
    Sex : Female
    Address: Limau manih
    HISTORY
    Main complaints:
    Ear pain and discharge from the right ear
    continuously since 1 week ago.
    NOW HISTORY OF DISEASE :
    Ear pain and discharge from the right
    ear continuously since 1 week ago,
    smelling and colored yellowish.
    Pain of Right ear has increased
    since the day before to the hospital.
    discharge from the right ear and left ear
    since the age of 13 years, appear
    suddenly and disappear suddenly but
    never get treatment, which often fester on
    the right.





    A week prior to hospital patients back to the right ear pus,
    and the patient picking his ear with a cotton bud, cotton bud
    and are living in it. Then the patient tried to remove it with a
    new cotton bud, but the new cotton bud and even then stay
    in the right ear.
    History of Ferret ear (+)
    History of The ears take in water (+)
    swimming (+)
    Pain (-), fever (-)

    Spinning dizziness (-), headache (-), loss of consciousness
    (-)
    Hearing loss since the age of 13 years
    History of Hypertension (-)
    DM (-)
    Cough and cold (-)
    Family history of disease: No family suffer like this
    Past history of disease
    History of discharge from the left
    and right ear at the age of 13 years
    PHYSICAL EXAMINATION
    Status of generalist
    General Situation : medium
    Awareness : komposmentis cooperative
    Blood pressure : 130/80
    Nadi : 80 x per minute
    Breath : 20 x per minute
    Temperature : 36.8 C
    Head : normocephal
    Eyes : conjunctiva was not
    anemic, not jaundiced sclera
    .



    STATUS OF LOCALIST
    Inspection Disorders Dekstra Sinistra
    Pinna Congenital - -
    Trauma - -
    Inflammatiom - -
    Metabolic
    abnormalities

    - -
    Tenderness
    -
    -
    Pain of press - -
    EAR
    Wall of the ear
    canal
    Quite Field
    (N)
    + +
    Narrow - -
    Hyperemia - -
    Edema - -
    Mass - + (foreign objects)
    Discharge smell - -
    color - yellowish
    Quantity Almost meets the
    ear canal
    type - Mukopurulen
    TYMPANIC MEMBRANE
    Whole color -
    light reflex Normal reduced
    Bulging - -
    Retraction - -
    Atrophy - -
    Perforation Number of
    perforations
    - 1
    Type - Central
    Quadrant - Posterosuperior
    Edge -
    Mastoid Sign of
    inflammation
    - -
    Fistula - -
    Sikatrik - -
    Tenderness - -
    Nyeri ketok - -
    Tuning fork
    tests 512 Hz
    Rinne + -
    Swabach Normal
    Weber Lateralized to the right
    Conclusion Conductive deafness of AS
    Nose
    Inspection Abnormalities Dekstra Sinistra
    External nose Deformity - -
    Congenital
    abnormalities
    - -
    Trauma
    - -
    Inflammation
    - -
    Mass
    - -
    Inspection Dekstra Sinistra
    Tenderness - -
    Pain of word - -
    Paranasal Sinus
    Rinoskopi Anterior

    Vestibulum Vibrise + +
    Inflammation - -
    Kavum nasi Normal + +
    Narrow - -
    Field - -
    Sekret Location - -
    Type - -
    Quantity - -
    Smell - -
    Konka inferior Size Eutrofi Eutrofi
    color pink pink
    Surface Licin Licin
    Edema - -
    Konka media Size Eutrofi Eutrofi
    color pink pink
    Surface Licin Licin
    Edema - -
    Septum Normal / deviasi Normal Normal
    Surface Licin Licin
    color pink pink
    Spina - -
    Krista - -
    Abses - -
    Peforasi - -
    Mass Location - -
    Shape - -
    Size - -
    Surface - -
    color - -
    Consistency - -
    Easily moved - -
    Effect of
    vasoconstricto
    r
    - -
    Rinoskopi Posterior

    Inspection Abnormalities Dekstra Sinistra
    Koana Normal Normal Normal
    Narrow - -
    Field - -
    Mucosa color pink pink
    Edema - -
    Jaringan granulasi - -
    Konka superior Size Eutrofi Eutrofi
    color pink pink
    Surface Licin Licin
    Edema - -
    Adenoid There or not - -
    Estuary of
    eustachian
    tube
    closed by
    discharge
    - -
    Mass Location - -
    Size - -
    Shape - -
    Surface - -
    Post nasal
    drip
    There or not - -
    Type - -
    Orofaring dan Mouth
    Inspection Abnormalities Dekstra Sinistra
    Trismus -
    Uvula Edema - -
    Bifida - -
    Palatum mole arkus
    faring
    Symmetric/ no Symmetric Symmetric
    color pink pink
    Edema - -
    Bercak/ eksudat - -
    wall of the pharynx color pink pink
    Surface Licin Licin
    Tonsil Size T1 T1
    color pink pink
    Surface Licin Licin
    Muara/kripti - -
    Detritus - -
    Eksudat - -
    Adhesions to the pillars - -
    Peritonsil color pink pink
    Edema - -
    Abses - -
    Tumor Location - -
    Shape - -
    Size - -
    Surface - -
    Consistency - -
    Gigi Karies/
    radiks
    - -
    Kesan Gigi geligi baik
    Tongue color pink pink
    Shape Normal Normal
    Deviasi - -
    Mass - -
    Laringoskopi indirek
    Inspection Abnormalities Dekstra Sinistra
    Epiglotis Shape Normal Normal
    color pink pink
    Edema - -
    Edge Flat Flat
    Mass - -
    Aritenoid color pink pink
    Edema - -
    Mass - -
    Movement Symmetric Symmetric
    Ventrikular band color Pink Pink
    Edema - -
    Mass - -
    Plika vokalis color White White
    Movement Symmetric Symmetric
    Side of medial Flat Flat
    Mass - -
    Subglotis/ trakea Mass - -
    Sekret - -
    Sinus piriformis Mass - -
    Sekret - -
    Valekulae Mass - -
    Sekret (Typenya) - -
    Inspection of the Lymph Nodes of Neck

    On inspection no visible enlargement of the
    lymph nodes of neck.
    On palpation no palpable enlarged lymph nodes
    of the neck.

    Primary Diagnosis: Omsk of AS safe
    type, active phase

    Prompts examination: X-ray of the
    mastoid
    Therapy: 2x cefotaxime 1 g

    prognosis:

    - Quo ad Vitam: dubia at bonam
    - Quo ad Sanam: dubia at bonam
    - Qua ad Fungsionam: dubia at bonam

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