David Tunkel

All articles by David Tunkel

Acute otitis media

OVERVIEW: What every practitioner needs to know Are you sure your patient has acute otitis media? What are the typical findings for this disease? Acute onset of signs and symptoms of middle ear effusion (MEE) and middle-ear inflammation, usually within the 48 hours preceding presentation, are required for the diagnosis of acute otitis media (AOM).…

Hypertensive encephalopathy

OVERVIEW: What every practitioner needs to know. Are you sure your patient has hypertensive encephalopathy? What are the typical findings for this disease? In pediatric patients, hypertension is defined as persistent (on three separate occasions) systolic or diastolic blood pressure (BP) elevation greater than the 95th percentile for age, sex, and height. Stage 1 hypertension…

Encephalitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has mastoiditis? What are the typical findings for this disease? Mastoiditis is inflammation of the mastoid air cells, air-filled mucosal lined spaces within the temporal bone. Mastoiditis can be acute or chronic, based on the severity of disease and type and time-course of…

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