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Otolaryngology

A neck mass in a patient with fever and sore throat

Michael R. Slaughter, MPAS, PA-C March 15, 2012

The initial diagnosis was viral illness, but blood cultures that came back positive for Fusobacterium necrophorum mandated further evaluation.

Evaluating a neck mass: Narrowing the differential diagnosis

Jason C. Fowler, MPAS, PA-C, Ryan Marovich, MPAS, PA-C; Jonas T. Johnson, MD, FACS March 01, 2012

The differential diagnosis of a neck mass can be overwhelming, even for an experienced clinician. A thorough knowledge of head and neck anatomy is most helpful.

The SNAP treatment approach for children with acute otitis media

Kristina D. Mancini, MS, PA-C, Ellen D. Mandel, DMH, MPA, MS, PA-C February 01, 2012

AOM usually resolves spontaneously, and the SNAP approach takes advantage of that,  helping children to avoid antibiotic side effects and combating antibiotic resistance.

Hypoparathyroidism and Meniere disease

Barbara Poetzsch, PhD, RPA-C, Jami S. Smith, MPA, PA-C January 18, 2012

This month's brief review of subjects that may be covered on the PANRE includes Meniere disease and hypoparathyroidism.

Fusobacterium otitis causes a case of  hydrocephalus and fatal meningitis

Erin N. Arrington; M. Michael Behnia, MD November 15, 2011

A delay in the administration of antimicrobial therapy resulted in lethal complications. To reduce the high morbidity and mortality rates, clinicians must begin early treatment.

Evaluating the patient with vertigo: A complex complaint made simple

Monica Furman, RPA-C, Denise Rizzolo, PA-C, PhD October 04, 2011

It's a truism that the history alone can often lead to an accurate diagnosis, and asking the right questions can be especially helpful when assessing the patient with dizziness.

Intermittent headaches relieved by lying down

Jason C. Fowler, MPAS, PA-C, Mark Casteel, MD; Peter White, MD April 29, 2011

The patient was growing depressed that attempts at pain relief, including therapy for migraine headache and chiropractic care, failed to relieve her month-long symptoms.

Eagle syndrome: A rare cause of  dysphagia and head and neck pain

Laurie R. Dunn-Ryznyk, MPAS, PA-C, FDAAPA, Cheri W. Kelly, MS, PA-C December 20, 2010

A male patient presented with an unusual  combination of symptoms, including sharp pain, jaw spasms, and chronic headaches.

What is the significance of this patient's pulsatile tinnitus?

Jason C. Fowler, MPAS, PA-C; Barry E. Hirsch, MD; Peter F. White, MD, FRCS June 28, 2010

Symptoms were worse when she tried to sleep, but there was no associated dizziness, vertigo, or otalgia.

Dizziness induced by acute noise exposure

Carrlene Donald, MMS, PA-C; David Barrs, MD; Joseph Hoxworth, MD April 12, 2010

This patient had left-sided autophony, aural fullness, and episodes of vertigo triggered by a loud noise that lasted from a few seconds to a few minutes.

Persistent malodorous breath in a youngster

Rene Frasher, DHSc, PA-C August 21, 2009

A young boy has multiple episodes of foul-smelling breath so severe that he is ridiculed at school. After 5 months and several rounds of antibiotics, the cause emerges.

Midline lingual lesion

Jason C. Fowler, MPAS, PA-C; Peter White, MD, FRCS June 23, 2009

A middle-aged man presents with a partially flattened, erythematous, painless lesion on the dorsum of his tongue.

Face to face: Glimpsing the man behind the mask

Brian T. Maurer, PA-C June 09, 2009

The author reflects on how deceiving outward appearances can be after watching the interaction between a little girl and her disfigured parent.

Further discussion on treating acute otitis externa

April 28, 2009

Otitis externa: Treatment is easy, but a missed diagnosis can be fatal

Richard T. Handley, MPAS, PA-C February 06, 2009

Acute OE rarely requires systemic antibiotic therapy. However, early identification and expedient care are needed for effective resolution.

An 8-day history of severe dysphagia

Amelia Mohabir, RPA-C December 01, 2007

The patient, a 66-year-old female, presented to the emergency department with an 8-day history of severe dysphagia. She reported that the dysphagia was intermittent but worsened after she administered ciprofloxacin (Ciloxin) eye drops, prescribed for bacterial conjunctivitis 2 days ago.

Otorrhea—A fresh look at an old symptom

Pamela Moyers Scott, MPAS, PA-C August 01, 2006

How do you know whether your patient's ear infection is due to a bacterium or a fungus? What are the different methods of treating these painful conditions? This comprehensive article has the answers.

Diagnosis and treatment of Meniere's disease

Seth Wittner, PA-C May 01, 2006

Often frightening and debilitating, Meniere's disease sends patients on a desperate search for relief—and for an explanation for their condition. This article helps you to offer both.

Laryngopharyngeal reflux—It's not GERD

Linda Diamond, PA-C August 01, 2005

Laryngopharyngeal reflux--It's not GERD - Before you can alleviate symptoms in patients with LPR and ensure healing of the laryngopharynx, you must understand the differences between LPR and GERD.