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Diagnosis Barotrauma

Anamnesis
• RPS
• RPD
• RPSOS
RPS
• Chest pain • Vomitting
• Shortness of breath • Disorientation
• Hemoptysis • Trouble in clearing
• Headache ears
• Epistaxis
• Tinnitus
• Vertigo
• Nausea
RPD
• Sinus infection
• Nasal discharge
• Earache
• Allergy
• Asthma
• Nasal polyps
• COPD
• Hearing loss
RPSOS
• Ambient temperature
• Air conditions
• The height
• Duration
RPO
• Nasal or oral decongestant
• Bronchodilators or systemic steroids
Physical Exam
• Check sinuses; Percussion tenderness, nasal discharge, epistaxis
• Visual ears check
• Obstruction, swelling, or ecchymosis of the external canal
• Tympanic Membrane; presence of suffusion, hemorrhage, or rupture
• Neurologi exams; nystagmus, confussion, sensory loss
• Dental examination; dental caries, abcesess, carious teeth
• Pulmonary overpressure syndrome; include shortness of breath, crackles, crepitance,
subcutaneous emphysema, sore throat, dysphagia, change in voice, tachypnea,
respiratory distress, substernal chest pain, pain radiating to back, shoulders, or neck
and in the case of pneumothorax, diminished breath sounds
• Thorax; IPPA
Supporting exam
• Arterial blood gas
• Rising creatine phosphokinase (CPK) and troponin-I levels
• Chest X-ray
• EKG
• The TEED; classification of ear barotrauma

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