Xiang Li Xu   Telemedicine In Screening For Otitis Media2
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Xiang Li Xu Telemedicine In Screening For Otitis Media2

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Xiang Li Xu Telemedicine In Screening For Otitis Media2 Presentation Transcript

  • 1. Telemedicine: One possible solution to the problem of identifying children at risk for permanent ear damage Instructor: Dennis Streveler Author: Xiangli Xu
  • 2. Ear Structure
  • 3. Ear diseases
    • Otitis media
    • Mastoiditis
    • Complications of otitis media and
    • mastoiditis
    • External otitis
  • 4. Otitis media information
    • Middle ear conditions are probably the most important relating to the upper respiratory tract, with 75% of all cases of acute otitis media (AOM) occurring in children under the age of 10 years
    • One in four children will have an episode of AOM at some time during the first 10 years of life with a peak incidence of diagnosis occurring between the ages of two and six years.
    • Around 80% of children had otitis media with effusion (glue ear) at least once before the age of four.
    • It is currently the most commonly diagnosed disease in the US.
    http://www.sign.ac.uk/pdf/sign66.pdf
  • 5. Otitis media
    • An inflammation of the middle ear cleft, can occur with or without symptoms
    • Classified as acute otitis media (AOM) with symptoms, and otitis media with effusion (OME) without symptoms. which is a chronic disease.
    • The most common pathogens are Streptococcus pneumoniae, nontypeable Haemophilus influenzae, Moraxella branhamella, and viruses such as rhinovirus, adenovirus, etc.
    • The key test to diagnose otitis media is pneumatoscopy, since an immobile tympanic membrane correlates best with presence of an effusion.
    http://icarus.med.utoronto.ca/carr/manual/otitisatlas.html
  • 6. Otitis media symptoms http://www.uwcm.ac.uk:9080/otoscopy/common.htm normal tympanic membrane Acute otitis media with effusion Acute otitis media http://icarus.med.utoronto.ca/carr/manual/otitisatlas.html
  • 7. Noise-induced hearing loss http://www.hearnet.com/at_risk/risk_aboutloss.shtml
  • 8. Otoscope www.eou.edu/ohsu/campus-t_images/ lorretta%20otoscope.jpg
  • 9. Digitally Enhanced Video Otoscopy www.medrx-usa.com/MedRx/Human/ Images/OtoScopeSml.jpg
  • 10. Digitally Enhanced Video Otoscopy
    • The computerized Video Otoscope system has the ability to capture, view, and store images in NOAH patient database.
    • The system includes Intel-based computer, flat screen LCD monitor, a slim video camera that couples to a tapered 3mm probe, and a light box.
  • 11. Sound waves
    • Sound travels in waves. You hear sound because waves hit your ear.
    • Sound waves are similar to ocean waves. They both have a certain frequency . The frequency is measured in hertz, which is one cycle per second.
    • People can hear sounds between 20 and 20,000 hertz.
  • 12. Audiometry
  • 13. Doctor Mom OK, let mom check your ear…
  • 14. Search Ear Doctor
  • 15. Online healthy care http://www.reachmydoctor.com/doctors/faq.asp Patient is calling….
  • 16. Talk with doctor Doctor, do you think that my baby has ear problem?
  • 17. Doctor’s suggestion No Problem What you need to do ….
  • 18. Question? Comment? Welcome!