Telemedicine: One possible solution to the problem of identifying children  at risk for permanent ear damage Instructor: D...
Ear Structure
Ear diseases <ul><li>Otitis media </li></ul><ul><li>Mastoiditis </li></ul><ul><li>Complications of otitis media and  </li>...
Otitis media information <ul><li>Middle ear conditions are probably the most important relating to the upper respiratory t...
Otitis media <ul><li>An inflammation of the middle ear cleft, can occur with or without symptoms </li></ul><ul><li>Classif...
Otitis media symptoms http://www.uwcm.ac.uk:9080/otoscopy/common.htm normal tympanic membrane   Acute otitis media with ef...
Noise-induced hearing loss  http://www.hearnet.com/at_risk/risk_aboutloss.shtml
Otoscope www.eou.edu/ohsu/campus-t_images/ lorretta%20otoscope.jpg
Digitally Enhanced Video Otoscopy www.medrx-usa.com/MedRx/Human/ Images/OtoScopeSml.jpg
Digitally Enhanced Video Otoscopy <ul><li>The computerized Video Otoscope system has the ability to capture, view, and sto...
Sound waves <ul><li>Sound travels in waves. You hear sound because waves hit your ear.  </li></ul><ul><li>Sound waves are ...
Audiometry
Doctor Mom OK, let mom check your ear…
Search Ear Doctor
Online healthy care http://www.reachmydoctor.com/doctors/faq.asp Patient is calling….
Talk with doctor Doctor, do you think that my baby has ear problem?
Doctor’s suggestion No Problem What you need to do ….
Question? Comment?  Welcome!
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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

  1. 1. Telemedicine: One possible solution to the problem of identifying children at risk for permanent ear damage Instructor: Dennis Streveler Author: Xiangli Xu
  2. 2. Ear Structure
  3. 3. Ear diseases <ul><li>Otitis media </li></ul><ul><li>Mastoiditis </li></ul><ul><li>Complications of otitis media and </li></ul><ul><li>mastoiditis </li></ul><ul><li>External otitis </li></ul>
  4. 4. Otitis media information <ul><li>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 </li></ul><ul><li>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. </li></ul><ul><li>Around 80% of children had otitis media with effusion (glue ear) at least once before the age of four. </li></ul><ul><li>It is currently the most commonly diagnosed disease in the US. </li></ul>http://www.sign.ac.uk/pdf/sign66.pdf
  5. 5. Otitis media <ul><li>An inflammation of the middle ear cleft, can occur with or without symptoms </li></ul><ul><li>Classified as acute otitis media (AOM) with symptoms, and otitis media with effusion (OME) without symptoms. which is a chronic disease. </li></ul><ul><li>The most common pathogens are Streptococcus pneumoniae, nontypeable Haemophilus influenzae, Moraxella branhamella, and viruses such as rhinovirus, adenovirus, etc. </li></ul><ul><li>The key test to diagnose otitis media is pneumatoscopy, since an immobile tympanic membrane correlates best with presence of an effusion. </li></ul>http://icarus.med.utoronto.ca/carr/manual/otitisatlas.html
  6. 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. 7. Noise-induced hearing loss http://www.hearnet.com/at_risk/risk_aboutloss.shtml
  8. 8. Otoscope www.eou.edu/ohsu/campus-t_images/ lorretta%20otoscope.jpg
  9. 9. Digitally Enhanced Video Otoscopy www.medrx-usa.com/MedRx/Human/ Images/OtoScopeSml.jpg
  10. 10. Digitally Enhanced Video Otoscopy <ul><li>The computerized Video Otoscope system has the ability to capture, view, and store images in NOAH patient database. </li></ul><ul><li>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. </li></ul>
  11. 11. Sound waves <ul><li>Sound travels in waves. You hear sound because waves hit your ear. </li></ul><ul><li>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. </li></ul><ul><li>People can hear sounds between 20 and 20,000 hertz. </li></ul>
  12. 12. Audiometry
  13. 13. Doctor Mom OK, let mom check your ear…
  14. 14. Search Ear Doctor
  15. 15. Online healthy care http://www.reachmydoctor.com/doctors/faq.asp Patient is calling….
  16. 16. Talk with doctor Doctor, do you think that my baby has ear problem?
  17. 17. Doctor’s suggestion No Problem What you need to do ….
  18. 18. Question? Comment? Welcome!

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