On otological examination, the right ear drum was intact, but there was hemotympanum
in the anterior zone of her right ear drum.
Previously, ETD was a presumptive diagnosis assigned, without any testing, to ears with symptoms of pressure pain, an uncomfortable degree of popping, an inability to tolerate pressure variations resulting in middle-ear effusion, or hemotympanum
and to patients diagnosed with recurrent otitis media, acute or chronic ME effusion, TM retraction, retraction pockets, cholesteatoma, and medical and surgical treatment failures.
The patient had a negative battle sign, no hemotympanum
, no rhinorrhea, and no cervical spine tenderness.
Relevant physical exam findings included hemotympanum
with periorbial ecchymyosis and pupils that were dilated to 6mm and sluggish.
** Other signs include otorrhea or rhinorrhea (leakage of CSF), hemotympanum
, Battle's sing (postauricular ecchymoses) and raccoon eyes (periorbital ecchymoses and edema)
His tympanic membranes were intact bilaterally, and no hemotympanum
Any sign of basal skull fracture (hemotympanum
, raccoon eyes, otorrhea or rhinorrhea, Battle's sign) 4.
Patients might present with hemotympanum
and an intact tympanic membrane.
* Physical findings of basilar skull fracture, such as hemotympanum
, raccoon eyes, Battle's sign, or evidence of a cerebrospinal leak.
* Clinical signs of basilar skull fracture: Retroauricular bruising--Battle's sign (periorbital bruising)--raccoon eyes, hemotympanum
, or cerebrospinal fluid otorrhea or rhinorrhea.
A detailed history and full physical examination on an unclothed infant, including an otoscopic examination for hemotympanum
and a fundoscopic examination for retinal hemorrhage, should be obtained (Pitetti et al., 2002).
They included minor bleeding, emphysema in the parotid region, hemotympanum
, and temporary increase of tinnitus.