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Earache, Pediatric

Vanessa S. Carlo, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Otalgia, classified as primary or secondary, means ear pain or an earache.

  • Primary (or otogenic) otalgia is ear pain that originates inside the ear, either from the external auditory ...

DIAGNOSIS

The first decision that must be made is whether the patient’s symptoms require emergent, urgent, or nonurgent intervention. Emergency treatment is rarely required for pediatric patients with...

TREATMENT

GENERAL MEASURES

  • Therapy is directed at the identified underlying cause.

  • Pain medications such as acetaminophen and ibuprofen are important because many of the infectious causes are exquisitel...

ADDITIONAL READING

  • Conover K. Earache. Emerg Med Clin North Am.  2013;31(2):413–442. [View Abstract on OvidInsights]

  • Leung AK, Fong JH, Leong AG. Otalgia in children. J Natl Med Assoc.  2000;...

CODES

ICD9

  • 388.7 Otalgia, unspecified

  • 388.71 Otogenic pain

  • 382.9 Unspecified otitis media

  • 388.72 Referred otogenic pain

  • 380.1 Infective otitis externa, unspecified

ICD10

  • H92.09 Otalgia, unspecified ear

  • H66.90...

FAQ

  • Q: What are the most common organisms that cause AOM?

  • A:

    • Streptococcus pneumoniae

    • Haemophilus influenzae

    • Moraxella catarrhalis

    • Viruses

  • Q: What are the most common organisms that cause otitis externa?

  • A:

    • P...

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