| ID | 281 |
|---|---|
| Name | FURUNCLE OF THE EXTERNAL CANAL |
| Cause | |
| Signs Symptoms | |
| Diagnosis | D/Diagnosis: Acute mastoiditis. |
| Investigations | |
| Management | Management: 1. 10% icthammol in glycerine wick is packed in the meatus. The wick should be changed daily or on alternate days. 2. If furuncle has burst before presentation, canal should be cleaned & antibiotic wick is applied & kept for 24 hours. 3. Paracetamol 1-2 tablets thrice daily to reduce pain & temperature. 4. Systemic antibiotic is given in severe case or when there is spreading cellulitis. 5. If the boil is large & pus pointing, incision & drainage is required. 6. Diabetes should be excluded & treated accordingly. |
| Introduction | It is the staphylococcal infection of a hair follicle in the cartilaginous part of the meatus. Diabetic patients are susceptible. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: 1. Pain- aggravated by movement. 2. Trismus, deafness, tenderness. 3. On examination- the furuncle can be seen pointing towards the meatus & tymp, membrane cannot be seen due to stenosis & oedema of the canal wall. 4. The post-auricular grove is obliterated, oedema of mastoid area & regional lymph nodes are enlarged. |
| Preventions | |
| Treatment | |
| Complications | |
| Prognosis | |
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| Observation | |
| Pathology |
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