The Diagnosis And Treatment of Diseases of the Ear

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It is not denied, however, that an angina in pneumonia may produce an otitis as in the same affection elsewhere.
The diagnosis of this disease is mainly from acute catarrhal otitis. From this it may be distinguished by the presence of pus in the discharge ; by the constancy of perforation of the membrane and the tendency to its destruction; its greater severity, its symptoms of constitutional disturbance, and its tendency to become chronic unless cured by treatment. We regard this disease as th
...e same in kind as the catarrhal, but differing principally in its greater intensity. Otitis externa somewhat resembles this disease, and the differentiation has been given under the heading of the former. In small children it is very diiBcult to determine whether signs of distress manifested in a given case are dependent on ear trouble or on some other affection. There is violent crying; the head may roll about as though there was brain trouble; there may be intolerance of light, and even convulsions; and whether the trouble be of the brain, the bowels, or the ear, is difficult to tell.

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