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Tinnitus or Ringing in the Ears Leo Leonidas MD, FAAP
WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis listing. There is a mother in my practice who after reading about Tics in the Internet became extremely worried and vowed not to visit the Internet again and read about her son's health problem. Sometimes too much information is not good for our emotional health if we happen to be a worrier.
The sensation of noise or ringing in the ear is called tinnitus. This is not common sensation in children.
PULSATILE TINNITUS
Hypertension Serous Otitis Media Intracranial Arteriovenous Fistula Glomus Jugulare Tumor Cerumen Foreign Body Paten Eustachia Tube Physiologic Causes Aberrant Internal Carotid Artery Carotic Artery Lesion Palatal Myoclonus Functional Tinnitus
NONPULSATILE TINNITUS
Brain Stem Tumor Acoustic Neuroma Drug-Induced Migraine Convulsive Disorder Hearing Loss Perforation of Tympanic Membrane Physiologic Tinnitus Noise Injury Meniere Disease Hypoxia and Ischemia Labyrinthine Concussion Temporomandibular Joint Dysfunction Functional Tinnitus Psychiatric Problem
REFERENCE: Signs & Symptoms In Pediatrics 2nd Edition, page 170 Tunnessen, Jr
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP Assistant Clinical Professor in Pediatrics Tufts University School of Medicine, Boston Attending Pediatrician Eastern Maine Medical Center, Bangor
BANGOR, MAINE: “First City with EBPP (Evidence Based Pediatrics for Parents) Website”
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