Swimmer's Ear Glossary of Terms

Anatomy of an Ear Infection Slideshow Pictures Medical Illustration of the Ear Image Collection Tinnitus (Ringing of the Ears) Slideshow Pictures

Acetaminophen: A pain reliever and fever reducer. Brand name: Tylenol. The exact mechanism of action of acetaminophen is not known. Acetaminophen relieves pain by elevating the pain threshold (that is, by requiring a greater amount of pain to develop before it is felt by a person). Acetaminophen reduces fever through its action on the heat-regulating center (the "thermostat") of the brain. Generic is available.

Acetate: A molecular ion derived from acetic acid. The formula of acetate is CH3COO-.

Acetic acid: The acid most commonly associated with vinegar. Acetic acid is a two-carbon carboxylic acid. Its formula is: CH3COOH. It is the most commercially important organic acid and is used in the manufacture of a broad range of chemical products, such as plastics and insecticides.

Antibacterial: Anything that destroys bacteria or suppresses their growth or their ability to reproduce. Heat, chemicals such as chlorine, and antibiotic drugs all have antibacterial properties. Many antibacterial products for cleaning and handwashing are sold today. Such products do not reduce the risk for symptoms of viral infectious diseases in otherwise healthy persons. This does not preclude the potential contribution of antibacterial products to reducing symptoms of bacterial diseases in the home.

Antibiotic: A drug used to treat infections caused by bacteria and other microorganisms. Originally, an antibiotic was a substance produced by one microorganism that selectively inhibits the growth of another. Synthetic antibiotics, usually chemically related to natural antibiotics, have since been produced that accomplish comparable tasks.
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Antifungal: A drug used to treat fungal infections.
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Antiseptic: Something that discourages the growth microorganisms. By contrast, aseptic refers to the absence of microorganisms.

Aspirin: A good example of a tradename that entered into the language, Aspirin was once the Bayer trademark for acetylsalicylic acid.
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Bacteria: Single-celled microorganisms which can exist either as independent (free-living) organisms or as parasites (dependent upon another organism for life).
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Bacterial: Of or pertaining to bacteria. For example, a bacterial lung infection.

Cure: 1. To heal, to make well, to restore to good health. Cures are easy to claim and, all too often, difficult to confirm.
2. A time without recurrence of a disease so that the risk of recurrence is small, as in the 5-year cure rate for malignant melanoma.
3. Particularly in the past, a course of treatment. For example, take a cure at a spa.
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Diabetes: Refers to diabetes mellitus or, less often, to diabetes insipidus. Diabetes mellitus and diabetes insipidus share the name "diabetes" because they are both conditions characterized by excessive urination (polyuria).
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Diagnosis: 1 The nature of a disease; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies. 3 The identification of any problem. The diagnosis was a plugged IV.
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Dizziness: Painless head discomfort with many possible causes including disturbances of vision, the brain, balance (vestibular) system of the inner ear, and gastrointestinal system. Dizziness is a medically indistinct term which laypersons use to describe a variety of conditions ranging from lightheadedness, unsteadiness to vertigo.
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Drain: A device for removing fluid from a cavity or wound. A drain is typically a tube or wick. As a verb, to allow fluid to be released from a confined area.

Ear: The hearing organ. There are three sections of the ear, according to the anatomy textbooks. They are the outer ear (the part we see along the sides of our head behind the temples), the middle ear, and the inner ear. But in terms of function, the ear has four parts: those three and the brain. Hearing thus involves all parts of the ear as well as the auditory cortex of the brain. The external ear helps concentrate the vibrations of air on the ear drum and make it vibrate. These vibrations are transmitted by a chain of little bones in the middle ear to the inner ear. There they stimulate the fibers of the auditory nerve to transmit impulses to the brain.
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Ear wax: A natural wax-like substance secreted by special glands in the skin on the outer part of the ear canal. It repels water, and traps dust and sand particles. Usually a small amount of wax accumulates, and then dries up and falls out of the ear canal carrying with it unwanted particles. Ear wax is helpful in normal amounts and serves to coat the skin of the ear canal where it acts as a temporary water repellent. The absence of ear wax may result in dry, itchy ears, and even infection.
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Earache: Pain in the ear. This can occur because of conditions within the ear itself, the ear canal, or the visible external portion of the ear. Acute infection of the middle ear, medically called acute otitis media, is inflammation of the middle ear and is the most frequent diagnosis in sick children in the US. The eustachian tube is shorter in children than adults which allows easy entry of bacteria and viruses into the middle ear, resulting in acute otitis media in childhood. Infection of the ear canal (otitis externa) is also called swimmer's ear. Otitis externa is typically caused by bacterial infection. Earache can also be due to pain and inflammation of the outer portion of the ear. A child with a draining ear should not fly (or swim).

Eardrum: The tympanic membrane of the ear, or tympanum, the membrane that separates the middle ear from the external ear.

Emergency department: The department of a hospital responsible for the provision of medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department personnel may also respond to certain situations within the hospital such cardiac arrests.
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External ear: There are three sections of the ear. They are the external ear, the middle ear, and the inner ear. The external ear looks complicated but it is functionally the simplest part of the ear. It consists of the pinna or auricle (the visible projecting portion of the ear), the external acoustic meatus (the outside opening to the ear canal), and the external ear canal that leads to the ear drum. In sum, there is the pinna, the meatus and the canal. And the external ear has only to concentrate air vibrations on the ear drum and make the drum vibrate. The external ear is also called the outer ear.

Exudate: A fluid rich in protein and cellular elements that oozes out of blood vessels due to inflammation and is deposited in nearby tissues. The altered permeability of blood vessels permits the passage of large molecules and solid matter through their walls. The vessels seem to weep, to sweat, in keeping with the Latin "exsudare", to sweat out, from which exudate is derived.
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Fever: Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.).
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Fungal: Pertaining to a fungus. For example, a fungal skin infection.

Fungi: Plural of fungus.

Fungus: A single-celled or multicellular organism. Fungi can be true pathogens (such as histoplasmosis and coccidioidomycosis) that cause infections in healthy persons or they can be opportunistic pathogens (such as aspergillosis, candidiasis, and cryptococcosis) that cause infections in immunocompromised persons (including cancer patients, transplant recipients, and persons with AIDS). An example of a common fungus is the yeast organism which causes thrush and diaper rash (diaper dermatitis). Fungi are also used for the development of antibiotics, antitoxins, and other drugs used to control various human diseases.

Ibuprofen: A non-steroidal anti-inflammatory drug (NSAID) commonly used to treat pain, swelling, and fever. Common brand names for Ibuprofen include Advil, Motrin, and Nuprin.

Immune: Protected against infection. The Latin immunis means free, exempt.

Immune system: A complex system that is responsible for distinguishing us from everything foreign to us, and for protecting us against infections and foreign substances. The immune system works to seek and kill invaders.
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Infection: The growth of a parasitic organism within the body. (A parasitic organism is one that lives on or in another organism and draws its nourishment therefrom.) A person with an infection has another organism (a "germ") growing within him, drawing its nourishment from the person.
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Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key feature being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response.
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Itching: An uncomfortable sensation in the skin that feels as if something is crawling on the skin or in the skin, and makes the person want to scratch the affected area.
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Lobe: Part of an organ that appears to be separate in some way from the rest. A lobe may be demarcated from the rest of the organ by a fissure (crack), sulcus (groove), connective tissue or simply by its shape. For example, there are the frontal, parietal, temporal, and occipital lobes of the brain.
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Membrane: A very thin layer of tissue that covers a surface.

Microscope: An optical instrument that augments the power of the eye to see small objects. The name microscope was coined by Johannes Faber (1574-1629) who in 1628 borrowed from the Greek to combined micro-, small with skopein, to view. Although the first microscopes were simple microscopes, most (if not all) optical microscopes today are compound microscopes.

MPH: Master of Public Health (a master's degree in this field of medicine).

Otitis: Inflammation of the ear. Depending upon which part of the ear is inflammed, there is otitis externa, otitis media, and otitis interna.

Otitis externa: Infection of the skin covering the outer ear canal that leads in to the ear drum, usually due to bacteria such as streptococcus, staphylococcus, or pseudomonas. Swimmer's ear is usually caused by excessive water exposure. When water pools in the ear canal (frequently trapped by wax), the skin will become soggy and serve as an inviting culture media for bacteria.
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Otolaryngologist: A physician specialized in diagnosing and treating diseases of the head and neck, especially those involving the ears, nose, and throat (ENT). Also called an ENT, ENT doctor, or ENT physician.

Otoscope: Instrument for looking in the ear. Today, otoscopic or ophthalmoscopic heads can usually be attached to the base (which supplies the electrical power) to look at the ears or eyes.

Outer ear: There are three sections of the ear: the outer ear, the middle ear, and the inner ear. The outer ear looks complicated but it is functionally the simplest part of the ear. It consists of the pinna or auricle (the visible projecting portion of the ear), the external acoustic meatus (the outside opening to the ear canal), and the external ear canal that leads to the ear drum. In sum, there is the pinna, the meatus and the canal. That's all. The outer ear concentrates air vibrations on the ear drum and makes the drum vibrate. The outer ear is also called the external ear.

Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Pharmacy: A location where prescription drugs are sold. A pharmacy is, by law, constantly supervised by a licensed pharmacist.

Prescription: A physician's order for the preparation and administration of a drug or device for a patient. A prescription has several parts. They include the superscription or heading with the symbol "R" or "Rx", which stands for the word recipe (meaning, in Latin, to take); the inscription, which contains the names and quantities of the ingredients; the subscription or directions for compounding the drug; and the signature which is often preceded by the sign "s" standing for signa (Latin for mark), giving the directions to be marked on the container.

Pseudomonas aeruginosa: The versatile "blue-green pus bacteria" that opportunistically infects people, especially those who are immunocompromised. Pseudomonas rarely causes infection in healthy individuals but it is a major cause of hospital acquired (nosocomial) infections. It tends to infect people with immunodeficiency or burns and those with indwelling catheters or on respirators. Infection with pseudomonas can lead to urinary tract infections, sepsis (blood stream infection), pneumonia, pharyngitis, and many other medical problems. Pseudomonas colonizes the lungs of patients with cystic fibrosis (CF) and contributes to the chronic progressive pulmonary disease and death rate in CF.
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Recurrent: Back again. A recurrent fever is a fever that has returned after an intermission: a recrudescent fever.

Salicylic acid: A substance obtained from plants (white willow back and wintergreen leaves) and also synthesized which is versatile and possesses bacteriostatic, fungicidal, and keratolytic actions.
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Staphylococcus: A group of bacteria that cause a multitude of diseases. Under a microscope, Staphylococcus bacteria are round and bunched together. They can cause illness directly by infection, or indirectly through products they make, such as the toxins responsible for food poisoning and toxic shock syndrome. The best known member of the Staphylococcus family is Staphylococcus aureus. Staphylococcus are the main culprit in hospital-acquired infections, and cause thousands of deaths every year.

Surgery: The word "surgery" has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician's or dentist's office.
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Swimmer's ear: Infection of the skin covering the outer ear canal that leads in to the ear drum, usually due to bacteria such as streptococcus, staphylococcus, or pseudomonas. Swimmer's ear is usually caused by excessive water exposure. When water pools in the ear canal (frequently trapped by wax), the skin will become soggy and serve as an inviting culture media for bacteria.
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Symptom: Any subjective evidence of disease. Anxiety, lower back pain, and fatigue are all symptoms. They are sensations only the patient can perceive. In contrast, a sign is objective evidence of disease. A bloody nose is a sign. It is evident to the patient, doctor, nurse and other observers.

Therapy: The treatment of disease.
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Thimerosal: A mercury-containing preservative used in some vaccines and other products since the 1930's. No harmful effects were reported from thimerosal at doses used in vaccines, except for minor local reactions like redness and swelling at the injection site. There was specifically no evidence that thimerosal increases the risk of developing autism or any other behavior disorder. However, in 1999 it was agreed that thimerosal should be reduced or eliminated in vaccines as a precautionary measure. Today, all routinely recommended pediatric vaccines in the US contain no thimerosal or only trace amounts.

Tinnitus: "Ringing in the ears" or another noise that seems to originate in the ears or head.
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Topical: Pertaining to a particular surface area. A topical agent is applied to a certain area of the skin and is intended to affect only the area to which it is applied. Whether its effects are indeed limited to that area depends upon whether the agent stays where it is put or is absorbed into the blood stream.

Trauma: Any injury, whether physically or emotionally inflicted. "Trauma" has both a medical and a psychiatric definition. Medically, "trauma" refers to a serious or critical bodily injury, wound, or shock. This definition is often associated with trauma medicine practiced in emergency rooms and represents a popular view of the term. In psychiatry, "trauma" has assumed a different meaning and refers to an experience that is emotionally painful, distressful, or shocking, which often results in lasting mental and physical effects.
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Trigger: Something that either sets off a disease in people who are genetically predisposed to developing the disease, or that causes a certain symptom to occur in a person who has a disease. For example, sunlight can trigger rashes in people with lupus.

Tubes: The "tubes" are medically known as the Fallopian tubes. There are two Fallopian tubes, one on each side, which transport the egg from the ovary to the uterus (the womb). The Fallopian tubes have small hair-like projections called cilia on the cells of the lining.
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Tylenol: See: Acetaminophen.

Tympanic: 1. Pertaining to the tympanum (the eardrum).
2. Pertaining to the tympanic cavity.
3. Bell-like or resonant.

Tympanic membrane: Just the ear drum.

Vertigo: Aside from being the name of a classic 1958 Alfred Hitchcock film (with Jimmy Stewart and Kim Novak), vertigo is a feeling that you are dizzily turning around or that things are dizzily turning about you. Vertigo is usually due to a problem with the inner ear. Vertigo can also be caused by vision problems.
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