Ear infection with body rash last,earrings industrial piercing out,job assistance for hearing impaired - PDF Review

Author: admin, 09.02.2016
Ask most any parent  about ear infections, and you will most likely hear one horror story after another.  Ear infection, or Otitis Media, is the most common reason for visits to the pediatrician’s office. Historically, the treatment for ear infections has been antibiotics.  This method of treatment has come under severe attack over the past several years for many reasons. The real question then is what is the cause of ear infections?  The reality is that ear infections themselves are merely a symptom of a greater problem.  The vast majority of them are secondary to a cold or other infection, which may be due to a depressed immune system. The obvious question from most parents now is: what can we do?  The answer lies in a new level of thinking. There is a direct link between the nerves in the neck (the superior cervical ganglion), the  muscles of the eustachian tubes (tensor veli palatini) and the middle ear. Through advances in technology such as Surface EMG and Thermal Scans, a chiropractor can easily detect if subluxations are present and monitor their correction as well.  This enables the doctor of chiropractic to be accurate and objective, allowing you the best care possible. I am a Chiropractic Wellness Consultant in NW Portland, OR, in the heart of the Pearl district in Portland. This entry was posted in Children, Newsletter and tagged birth trauma, children, chiropractic, chiropractor, disease, drugs, ear infection, ear infections, headaches, healing, health, healthy, kids, pediatric chiropractic, pediatrics, wellness. Patient information: See related handout on body piercing, written by the author of this article. Piercing and tattooing in patients with congenital heart disease: patient and physician perspectives.
Children are prone to ear infections, when the Eustachian tubes do not work properly (due to colds allergies, enlarged adenoids, or not being in a favorable angle. You and your doctor may also be concerned with the number of ear infections your child is having, even if treatment is successful and the fluid disappears each time. It is estimated that over 30 million visits are made every year in an attempt to deal with this problem. I focus on prevention and am extremely passionate about taking care of the young before damage occurs. The size and shape of jewelry is determined by the body site pierced and personal preferences. Septal piercings usually are performed in the inferior fleshy part of the septum and not through cartilaginous tissue.
Friction from clothing with tight-fitting waist-bands and subsequent skin maceration may account for the delayed healing and increased infection rates of navel piercings (Table 28,9).
Abscess formation has been reported following nipple piercing.10 Except for case reports of cellulitis and spread of infection around an implant,32,33 little information is available about nipple piercing after breast implantation or chest wall augmentation.
One small study38 of children and adults with congenital heart disease found no cases of endocarditis after ear piercing, even though only 6 percent of patients received prophylactic antibiotic treatment.
A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Otitis media is an infection of the middle ear that may cause a change in the eardrum, such as swelling or redness. This results in a build of negative pressure (a vacuum effect) in the middle ear and causes the eardrum to be sucked inward; this is a retraction of the eardrum. A child with fluid, who has ear pain and fever, usually has an ear infection and should have an antibiotic prescribed.
Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body rejection.


These piercings are associated with poor healing and more serious infection because of the avascular nature of auricular cartilage. Piercing the cartilage can cause significant bleeding and lead to septal hematoma formation that often is accompanied by infection.
This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Otitis externa is an ear infection of the external ear canal and is commonly called “swimmer’s ear”. Eisner has been in private practice in Pediatrics in or near the Houston Heights area since July, 1981.
Piercing of various body parts with jewelry is no longer limited to teenagers, as evidenced by the growing number of adults with multiple ear piercings. In particular, jewelry designed for ear piercing may not be suitable for another part of the body because of the length of the post or the pressure exerted by the clasp.Most body piercing jewelry is made of metal, usually stainless steel, gold, niobium, titanium, or alloys.
If lingual jewelry cannot be removed easily or expeditiously, precautions should be taken during intubation to ensure that jewelry is not loosened and aspirated or swallowed. Auricular perichondritis and perichondrial abscess typically occur in the first month after piercing, especially during warm-weather months.7 Auricular perichondritis presents as painful swelling, warmth, and redness in a portion of the auricle that often spares the earlobe. Other potential complications that may result in cosmetic deformity include perichondritis and necrosis of the cartilaginous nasal wall. The problem of jewelry migration and rejection is compounded by wearing heavily weighted, thin-gauge jewelry. The antibiotic decreases the chance infection will spread from the ear to the other areas of the body. Minor infections, allergic contact dermatitis, keloid formation, and traumatic tearing may occur after piercing of the earlobe.
Family physicians should be familiar with body piercing practices and associated health risks (Table 11–14). Acute tenderness on deflecting the auricular cartilage helps distinguish this deeper perichondrial infection from a superficial skin infection. Infection requires aggressive treatment with antibiotics that have good coverage against Staphylococcus species that commonly colonize the nasal mucosa. Migration of navel rings and subsequent scarring are more problematic in overweight patients and in the latter stages of pregnancy as abdominal girth expands (Figure 4) . Condoms may be more prone to break and diaphragms may be more easily dislodged during sexual activity when one or both partners have genital piercings.
Ear piercing systems using disposable sterile cassettes are available.Family physicians should help patients make informed decisions about body piercings and counsel them about the importance of universal precautions. Fluid in the middle ear interferes with hearing, so the purpose of treatment is to remove the infection and the fluid. The child is placed under anesthesia or deep sedation and the tube is placed in the ear drum.
No reliable estimates are available for the number of persons who have experienced complications related to body piercing. Nickel in gold-filled or gold-plated jewelry is associated with a high prevalence of reactivity in persons who are nickel sensitive.
Minor infections can progress to perichondritis, abscess formation, and necrosis with or without systemic symptoms.


Physicians should remain nonjudgmental so that patients are not reluctant to report a problem. This allows for drainage of fluid from the middle ear with the goal of reducing the incidence of further ear infections. Fluoroquinolone antibiotics are advised for treatment of auricular perichondritis because of their antipseudomonal activity.
Consumers must pay careful attention to the stud or clasp on earrings; jewelry with a high karat rating commonly is paired with less expensive gold-plated studs or earring backs.
Fluoroquinolones have the advantage of excellent skin penetration and added coverage against Pseudomonas species.Nasal jewelry has the potential to be aspirated or swallowed. Because body piercing salons are unregulated in many states, some physicians may choose to perform body piercing procedures in the office setting.
The placement of PE-tubes is often very effective in decreasing the need for antibiotics, in improving hearing, and in decreasing the potential for speech problems in children with chronic recurrent ear infections. Many complications from piercing are body-site–specific or related to the piercing technique used.
Niobium and titanium are light-weight elemental metals that rarely produce an allergic response. Treatment with 2 percent mupirocin ointment (Bactroban) or oral antistaphylococcal antibiotics may be warranted.NONINFECTIOUS COMPLICATIONSThe earlobe is a common site for hypertrophic scarring and keloid formation. Family physicians should be prepared to address complications of body piercing and provide accurate information to patients. Treatment options for keloids include surgical excision, intralesional corticosteroid injections, cryosurgery, pressure dressing, radiation, and laser therapy.22,23Contact dermatitis resulting from nickel exposure is common. Embedding may be prevented by using longer earring posts with adjustable backings.If gentle probing fails to locate an embedded ear-ring, a small incision under local anesthesia (without epinephrine) may be necessary to locate and remove the earring or backing. An earring can be replaced or the ear repierced six to eight weeks after resolution of local swelling and tenderness.21Trauma to the pierced external ear is common. Lacerations to the ear may occur after falls, motor vehicle crashes, contact sports, person-to-person violence, or accidental pulling of an earring. The simplest laceration occurs when an earring is pulled through the earlobe, especially if the original earring hole was close to the periphery (Figure 3) .
If the hole has closed, the ear lobe can be repierced in a nonscarred area after approximately three months.27 Various closure techniques have been described in the literature28 for more complex lacerations of ear cartilage. Many family physicians refer these complicated injuries to subspecialists for repair.Pointed earring posts may cause pressure sores or postauricular skin irritation when worn during sleep. Removal of jewelry at bedtime is indicated if switching to a different ear-ring style does not resolve the problem. Parents of infants or young children with pierced ears should be informed of the risk of aspiration and ingestion of earring parts. In such situations, earrings with a locking back or screw back are advisable.29Family physicians play an important role in promoting injury prevention by recommending that all jewelry be removed during contact sports to avoid endangering the wearer and other players.



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