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An eight-year-old boy was admitted to the Massachusetts Eye and Ear Infirmary because of fever, headache, vertigo, and vomiting.
The child had been well until two days before admission, when he became dizzy and nauseated immediately after being struck in the left ear by a baseball. He did not lose consciousness or have tinnitus, impairment of hearing, otorrhea, or rhinorrhea. An evaluation performed elsewhere showed erythema of the pinna and an unsteady gait. A cranial computed tomographic (CT) study was said to show no abnormality. Promethazine was prescribed, and the boy was sent home. On the next day, he was
Differential Diagnosis
Immediate Effects of Aural Trauma
Perilymphatic Fistula
Labyrinthitis
Meningitis
Clinical Diagnosis
Dr. Cliff A. Megerian's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
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