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tympanic membrane perforation - Coggle Diagram
tympanic membrane perforation
definition
condition of rupture or perforation of the eardrum
causes
infection
improper wax removal
foreign bodies
high pitch
clinical manifestations
otalgia
hearing loss
blood tinged discharged from ear
vertigo
diagnostic studies
otoscopic examination
auidogram
tympanometry
Weber and Rinne test
medical management
anti inflammatory for pain
surgical management : tympanoplasty,myringoplasty, ossiculoplasty
antibiotics for infection
risk factors
ear infections
history of ear surgery
trauma to the ear
inserting objects in the ear
diet
high protein
pathophysiology
acute infection of the middle ear causes ischemia in the ear and increased pressure in the middle ear space leads to a rupture of the eardrum preceded by severe pain
nursing diagnosis
acute pain related to inflammation or surgery
risk of infection
interventions
maintaining position after surgery
vital signs monitoring after surgery
administer drugs as prescribed
evaluation
verbalization of decreased pain
free from infection seen in normal vital signs and absence of symptoms