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Related Concept Videos

Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...

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Related Experiment Video

Updated: Jun 22, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
14:05

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

Published on: January 23, 2017

Does this child have acute otitis media?

Russell Rothman1, Thomas Owens, David L Simel

  • 1Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn 37232, USA. russell.rothman@vanderbilt.edu

JAMA
|September 25, 2003
PubMed
Summary

Accurate diagnosis of acute otitis media (AOM) in children relies on specific physical exam findings. A cloudy, bulging, or immobile eardrum on pneumatic otoscopy are key indicators for AOM.

Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Diagnostic Accuracy Studies

Background:

  • Acute otitis media (AOM) is a frequent pediatric illness.
  • Accurate AOM diagnosis is crucial for appropriate management and follow-up.

Purpose of the Study:

  • To systematically review literature on the diagnostic accuracy of patient history and physical examination for AOM in children.
  • To determine the precision and accuracy of various symptoms and signs in diagnosing AOM.

Main Methods:

  • Searched MEDLINE and bibliographies for English-language studies (1966-2002) on AOM diagnostic accuracy.
  • Included studies with original data on history or physical exam for AOM in children.
  • Calculated likelihood ratios (LRs) for symptoms and signs, adjusting for bias where necessary.

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Main Results:

  • Ear pain is the most useful symptom (positive LR, 3.0-7.3).
  • Cloudy (adjusted LR, 34), bulging (adjusted LR, 51), or immobile (adjusted LR, 31) tympanic membranes are highly indicative of AOM.
  • Distinctly red tympanic membranes are helpful (adjusted LR, 8.4), while normal color suggests absence of AOM (adjusted LR, 0.2).

Conclusions:

  • Despite study limitations, specific physical findings are most valuable for AOM diagnosis.
  • Cloudy, bulging, or immobile tympanic membranes are the strongest indicators.
  • Erythema of the tympanic membrane is also a useful sign, with normal color making AOM less likely.