{"id":982,"date":"2017-05-30T06:52:05","date_gmt":"2017-05-30T06:52:05","guid":{"rendered":"http:\/\/papergp.com\/?page_id=982"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"ear-pain","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/ent\/ear-pain\/","title":{"rendered":"Ear pain"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; head injury, progressive<\/li>\n<li>Others &#8211; swimming, teeth, ear discharge, hearing loss, tinnitus, facial weakness<\/li>\n<li>Examine &#8211; mastoid, ENT, CN7 (facial)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>swabs<\/li>\n<\/ul>\n<\/li>\n<li>Treatment (depending on cause)\n<ul>\n<li>Acute otitis media\n<ul>\n<li>analgesia<\/li>\n<li>review after 4 days<\/li>\n<li>amoxicillin 5d if systemically unwell\/chronic disease\/&gt;4d duration\/&lt;2yo + bilateral\/otorrhoea<\/li>\n<\/ul>\n<\/li>\n<li>Eustachian tube dysfunction\n<ul>\n<li>valsalva<\/li>\n<li>steroid nasal spray<\/li>\n<\/ul>\n<\/li>\n<li>Otitis externa\n<ul>\n<li>keep dry<\/li>\n<li>otomize<\/li>\n<\/ul>\n<\/li>\n<li>Perforated ear drum\n<ul>\n<li>keep dry<\/li>\n<li>review in 4 weeks &#8211; refer if not healed<\/li>\n<\/ul>\n<\/li>\n<li>TMJ dysfunction\n<ul>\n<li>analgesia<\/li>\n<li>stress<\/li>\n<li>dentist &#8211; dental guard<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; head injury, progressive Others &#8211; swimming, teeth, ear discharge, hearing loss, tinnitus, facial weakness Examine &#8211; mastoid, ENT, CN7 (facial) &nbsp; Clinical management Investigations swabs Treatment (depending on cause) Acute otitis media analgesia review after 4 days amoxicillin 5d if systemically unwell\/chronic disease\/&gt;4d duration\/&lt;2yo + bilateral\/otorrhoea Eustachian tube dysfunction valsalva &hellip; <a href=\"https:\/\/papergp.com\/index.php\/ent\/ear-pain\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Ear pain<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":346,"menu_order":138,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-982","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=982"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/982\/revisions"}],"predecessor-version":[{"id":985,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/982\/revisions\/985"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/346"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}