Mastoiditis physical examination

Jump to navigation Jump to search

Mastoiditis Microchapters


Patient Information


Historical Perspective




Differentiating Mastoiditis from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


History and Symptoms

Physical Examination

Laboratory Findings

X Ray




Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]


Acute mastoiditis patients are usually ill-appearing and usually present with low-grade fever. Patients with complicated mastoiditis may appear severly ill. Mastoiditis physical examination findings include posterior auricular signs such as postauricular swelling, erythema, tenderness, protrusion of pinna, and sagging external ear canal. Otoscopic examination findings include erythema, bulging, cloudy appearance, and immobility of the tympanic membrane.

Physical Examination

Patients with mastoiditis may present with some or all of the following signs:[1][2][3][4][5]

Appearance of the Patient

Patients with mastoiditis usually appear ill and have marked inflammation and edema of the periauricular area.

Vital Signs

Patients with mastoiditis may have the following vital signs, which are suggestive of infection:


Patients with mastoiditis may present with the following skin findings:

  • Erythema of the periauricular skin
  • Edema of the periauricular skin


Patients with mastoiditis may have the following HEENT findings on physical examination:


Patients with mastoiditis may present with the following signs:


Patients with mastoiditis may present with the following signs:

Mastoiditis patients may present with signs that are suggestive of inner or middle ear infection:


Patients with mastoiditis may present with signs which are suggestive of oral, pharyngeal, or upper respiratory tract infections:


Patients with mastoiditis may present with tender cervical lymph nodes, which are suggestive of regional infection.


  1. Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY (2014). "Risk factors for chronic and recurrent otitis media-a meta-analysis". PLoS ONE. 9 (1): e86397. doi:10.1371/journal.pone.0086397. PMC 3900534. PMID 24466073.
  2. Holt GR, Gates GA (1983). "Masked mastoiditis". Laryngoscope. 93 (8): 1034–7. PMID 6877011.
  3. van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG (2008). "A systematic review of diagnostic criteria for acute mastoiditis in children". Otol. Neurotol. 29 (6): 751–7. doi:10.1097/MAO.0b013e31817f736b. PMID 18617870.
  4. Lin HW, Shargorodsky J, Gopen Q (2010). "Clinical strategies for the management of acute mastoiditis in the pediatric population". Clin Pediatr (Phila). 49 (2): 110–5. doi:10.1177/0009922809344349. PMID 19734439.
  5. Pang LH, Barakate MS, Havas TE (2009). "Mastoiditis in a paediatric population: a review of 11 years experience in management". Int. J. Pediatr. Otorhinolaryngol. 73 (11): 1520–4. doi:10.1016/j.ijporl.2009.07.003. PMID 19758711.

Template:WH Template:WS