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Ear Barotrauma

Mizuho Morrison, DO and Mike Weinstock, MD
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No me gusta!

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TM perforation may present as pain or bleeding and is managed with steroid drops, either with or without an antibiotic. The TM perforation generally resolves on it’s own without complication

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gmete -

2 thoughts I had after listening to this podcast.
1. If you're ever concerned about a ruptured TM and can't see the TM due to blood and swelling you can try to perform a tympanogram. If you get resistance then you're relatively assured that the TM is intact.
2. I was taught the reason you don't use cortisporin for a ruptured TM is that the polymyxin/neosporin is not safe if it contacts the round window and the fluoroquinolone such as Oflox and Cipro Dex are.

Mike W., MD -

Thx for your comments!
M

Karen H. -

I cannot find the reference for this. We are not allowed to change practice w/o a reference.
I am getting to this late. Karen Hawes, APRN

Mike W., MD -

Will check!
M

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Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF

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