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Spilled inflammation of the external auditory meatus

External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious diffuse inflammation of the skin of the external auditory meatus.

It occurs as a result of the penetration of infection through minor traumatic skin lesions, which are most often formed during manipulations in the ear. In addition, skin lesions due to chemical and thermal burns or injuries contribute to the penetration of pyogenic and other microorganisms into it. The development of the disease is affected by hypothermia. Among microbes, streptococci, staphylococci, B.proteus, Pseudomonas aeruginosa, and others are most common. With this form of otitis externa, inflammation becomes diffuse, capturing the tympanic membrane. It spreads to the deeper layers of the skin, subcutaneous tissue. Such a course of the process, as a rule, is observed against a background of allergies or metabolic disorders.

K l and n and with to and to kartin and. The clinical picture of the disease consists of the symptoms inherent in weeping eczema and an ear boil (itchy skin, putrefactive discharge, soreness when pressing on the tragus, etc.). With otoscopy in the acute stage of the process, hyperemia and infiltration of the skin of the membrano-cartilaginous part of the auditory canal are noted. Swollen skin narrows its lumen to varying degrees. In the depths of the passage you can see a mushy mass consisting of a desquamated epidermis and pus with a sharp putrid odor. The eardrum is moderately hyperemic and covered with a desquamated epidermis. In the chronic course of the disease, there is a significant thickening of the skin of the ear canal and eardrum due to inflammatory infiltration.

The diagnosis is based on anamnesis, typical complaints and examination data. Differential diagnosis with a middle ear disease, otomycosis is carried out. Sometimes, in the presence of discharge from the ear and simultaneous reddening of the eardrum, the differential diagnosis of diffuse external otitis media and inflammation of the middle ear is difficult. In these cases, the correct diagnosis can be established as a result of careful daily monitoring of the process, an otoscopy is performed under a microscope. Mycological and bacteriological tests will help to clarify the diagnosis.

Prescribe a rational diet rich in vitamins; anti-inflammatory therapy, warming compress. When discharge from the ear, rinse with a warm 2% solution of boric acid or furatsilina (1: 5000), etc., then carefully dry and powder the ear canal with boric acid powder. With itching, drops are prescribed in the ear: 1% menthol in peach oil, 2% sulfathiazole or 1-2% yellow mercury ointment. A good result is the lubrication of the ear canal with a 2-3% solution of lapis or 1-2% alcohol solution of brilliant green. Favorably prednisolone ointment, hydrocortisone emulsion, UHF therapy and ultraviolet radiation, laser therapy. Effective with diffuse external otitis media, ear drops - polydex and otof. Polydex is a combination drug, which includes antibiotics - neomycin and polymyxin B, as well as dexamethasone. Otofa contains the antibiotic rifampicin. After thorough washing of the auditory meatus, turunda with otofa or polydex is injected into its lumen or 5 drops of the drug are poured into the external auditory meatus 3 times a day, the duration of treatment is no more than 5 days. With the allergic nature of the process, desensitizing therapy is indicated - diphenhydramine, suprastin, tavegil, clarithin, telfast, zyrtec, etc. In such cases, an allergological examination is necessary.

As a rule, the disease is cured in a short time, but relapses are sometimes noted. In these cases, antibiotics and sulfonamide drugs are treated taking into account the data of bacteriological and mycological studies. In the chronic course of the disease, staphylococcal toxoid can be successfully used. In order to increase general immunity, autohemotherapy, vitamins (groups A, B, C) are indicated. Of great importance in the prevention of skin diseases of the outer ear is proper hygienic care for purulent otitis media, especially necessary in children. An important preventive measure is the recommendation not to remove earwax from the ear canal by yourself with the help of matches, pins, etc., as this leads to the appearance of itching, scratching and dermatitis.
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Spilled inflammation of the external auditory meatus

  1. Boil of the external auditory meatus
    Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal. Et and about l about d and I. The disease occurs as a result of infection, more often staphylococci, entering the sebaceous and hair sacs when irritated skin is irritated by manipulations in the ear.
  2. Foreign bodies of the external auditory meatus
    Foreign bodies in the external auditory canal are most often found in children when during the game they push various small objects (buttons, balls, pebbles, peas, beans, paper, etc.) into their ears. However, in adults, foreign bodies are often found in the external auditory canal. They may be fragments of matches, pieces of cotton, stuck in the ear canal at the time of clearing the ear from
  3. Atresia and strictures of the external auditory meatus
    Ruby atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis media complicated by external otitis media, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after radical ear surgery. In the elderly and senile age, the walls of the ear canal collapse due to the loss of their elasticity, which leads to
  4. External auditory canal flushing
    Purpose: removal of the contents of the external auditory meatus. Equipment: Janet syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions Obtain patient consent for rinsing, explaining to him the purpose and course of the procedure. Set the patient sideways to himself. Wear gloves. Put a towel on the patient’s shoulder, oilcloth on top
  5. External auditory canal exostoses
    Exostoses are bone formations resulting from osteodystrophic processes of the temporal bone. Some attribute them to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obstruction of the ear canal appears ear noise, hearing loss, the process of excretion of sulfur or pus during otitis media is disrupted. Observed two
  6. External auditory canal cleansing
    Purpose To clean the ears of the patient. Indications Inability to self-service. Contraindications None. Possible complications When using hard objects, damage to the eardrum or external auditory canal. Equipment 1. Wadded turunds. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  7. Sulfur cork of the external auditory meatus
    Blockage of the external auditory canal with sulfur or an admixture of the epidermis is a common occurrence. Under normal conditions, the secretion of the sulfur glands, drying up into lumps and crusts, falls out when chewing and talking due to movements of the mandibular joint and the anterior wall of the ear canal. Excessive sulfur accumulation may be associated with hyperfunction of the sulfur glands under the influence of irritating
  8. Acquired stenosis of the external auditory meatus. H-61.3
    {foto46} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (lowering
  9. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Severe shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied.
  10. Auditory canal eczema
    Cause Frequent local irritation of the skin of the ear canal with general eczema. Predisposing factor for eczema of the auditory canal is suppuration from the ear in chronic suppurative otitis media, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and incorrect use of ointments and lotions. Symptoms of Itching. He can be so
    Inflammation of the outer ear, affecting the skin of the auricle and the external auditory canal, is a fairly common disease in cats, which most often develops due to tick-borne infestation. Therefore, in the absence of an opportunity to establish an accurate diagnosis, otitis media should be treated in combination with acaricidal (anti-mite) drugs such as the Bars drop, otovedin, or decor-2. It
  12. Inflammation and blockage of the auditory tube. H-68.
    {foto73} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, lowering
    Inflammation is a biological, and at the same time a key, general pathological process, the appropriateness of which is determined by its protective and adaptive function aimed at eliminating the damaging agent and repairing damaged tissue. In medicine, to indicate inflammation, the term "um" is added to the name of the organ in which the inflammatory process develops - myocarditis, bronchitis,
  14. Perichondritis and erysipelas of the outer ear, differential diagnosis, treatment
    Perichondritis is a diffuse inflammation of the perichondrium involving the skin of the outer ear. Etiology: perichondritis occurs as a result of infection (pseudomonas aeruginosa), mechanical injury, thermal (burns, frostbite), ear boils, sometimes flu, tuberculosis. Purulent perichondritis is more often observed, less often serous. Clinic: Puffiness, gradually spreading throughout
  15. Diseases of the auditory nerve, pathways and auditory centers in the brain
    Lesions of the conduction department of the auditory analyzer can occur on any part of it. The most common are diseases of the first neuron, united in a group called the auditory nerve neuritis. This name is somewhat arbitrary, since this group includes not only diseases of the auditory nerve trunk, but also lesions of nerve cells that make up
  16. Inflammation. Definition, essence, mediators of inflammation. Local and general manifestations of exudative inflammation, morphological manifestations of exudative inflammation. The answer is the acute phase. Ulcerative necrotic reactions with inflammation.
    1. The main processes that develop in the body in response to tissue damage are 1. amyloidosis 2. inflammation 3. regeneration 4. formation of granulomas 5. hyperplasia of cell ultrastructures 2. Inflammation is 1. hyperplasia of cell ultrastructures 2. restoration of lost structures 3 uncontrolled growth of cellular elements 4. exudative-proliferative response to damage 5. cellular
  17. Respiratory support for diffuse peritonitis
    The most common immediate cause of early deaths with peritonitis is secondary acute respiratory failure, which is caused by a combination of a number of interconnecting mechanisms (intoxication, hypovolemia, hemodynamic disturbances, renal failure, etc.), but it is always based on a mismatch between the metabolic needs of the body and ventilation capabilities
  18. Productive and chronic inflammation. Granulomatosis. The morphology of specific and non-specific inflammation.
    1. Chronic inflammation is manifested by a simultaneous combination of 1. failed repair 2. angiogenesis, scarring 3. reactive changes 4. tissue damage 5. embolism 2. Causes of chronic inflammation 1. acute infection 2. persistent infection 3. prolonged exposure to toxic substances 3. Chronic inflammation characterized by 1. deposition of amyloid 2. mononuclear infiltration
  19. The course of inflammation. Acute and chronic inflammation
    The course of inflammation is determined by the reactivity of the body, the type, strength, and duration of the phlogogen. There are acute, subacute and chronic inflammation. Acute inflammation is characterized by: - ​​an intense course and a relatively short (usually 1-2, up to a maximum of 4-6 weeks) duration (depending on the damaged organ or tissue, the degree and extent of their alteration,
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