Podcast #247: Are You Listening? - 3 Ear Emergencies You Can't Miss!

Author: Don Stader, M.D.

Educational Pearls

• Ear pain is a common complaint in adults and kids.
• A red, hot, painful ear with involvement of the pinna could indicate perichondritis - an infection of the cartilage that is usually caused by pseudomonas.
• A painful, swollen ear with involvement of the mastoid process could be mastoiditis, which needs to be treated with IV antibiotics to avoid cerebellar abscess.
• Ear pain with significant drainage and a cranial nerve deficit points to malignant otitis externa, which needs to be treated with IV antibiotics.

References: John W. Ely,  Marlan R. Hansen,  Elizabeth C. Clark. Diagnosis Of Ear Pain. 2008. American Family Physician.