Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Perforated Tympanic Membrane

Mike Weinstock, MD and Matthieu DeClerck, MD
00:00
12:18
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

A traumatic tympanic membrane rupture is best diagnosed by physical examination of the ear and visualization of a perforation which may be accompanied by blood in the auditory canal. Symptoms may include pain, tinnitus, vertigo or bleeding. Management is by observation and close follow up.

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Amanda S., PA-C -

Regarding EAC foreign bodies:
Keep in mind that it's not just a risk for "physical" trauma (i.e. TM perf) when dealing with the peds population. As an ENT PA, we see a lot of kiddos in close follow-up for EAC foreign bodies (or nasal) and they are usually too traumatized emotionally from prior attempts for us to then make an attempt. We really have a slick setup with bedside suction, binocular microscopy, other tools, etc. that make for an easier and more pleasant process. I would encourage one, maybe two attempts, before referring to an ENT. Trying to save a trip to the OR for procedural sedation :)

Mizuho M., DO -

I could not agree more and thank you for adding that caveat/pearl! Our tools in regular acute care setting are certainly limited compared to ENT office/OR...so a few strikes before I'm out & referring onto you guys! :) Thanks for your 2cents Amanda! ~Miz

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Breaking Bad - Insulin Pumps and Mandibles Full episode audio for MD edition 199:17 min - 93 MB - M4AUrgent Care RAP - November 2018 Written Summary 671 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate