ENT Ear Pearls for Urgent, ER and Primary Care Setting

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ENT Ear Pearls for Urgent, ER and Primary Care Setting

Recorded for 2025 National Conference

Credit(s):

0.93 Contact Hour(s) of CE

Program Number:

25067271

Original Program Date:

June 19, 2025

Duration:

56 minutes

Access:

Available until July 15, 2026

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Description
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Category: 2025 National Conference, Cert Exam Domain - Diagnosis, Cert Exam Domain - Planning ... (show more)

Category: 2025 National Conference, Cert Exam Domain - Diagnosis, Cert Exam Domain - Planning, Diagnostic Tests, Faculty Development/Education, Family, Infectious Disease, Otolaryngology, Outpatient, Procedures, Recent Additions (show less)

Activity Duration

Content Expires:

July 15, 2026 (11:55 p.m. CT)
CE for this activity will not be available after this date.

This CE activity was recorded for the 2025 AANP National Conference.

This activity includes closed captioning.

Delivery Note: The content for this activity was previously presented during the 2025 AANP National Conference. If you already completed the content of this activity while attending the live or virtual conference, you should not complete this content a second time. Learners should only complete ONE delivery-method to earn credit. Completing multiple delivery options for the same activity is considered duplicate credit for the same content and will not be accepted by regulatory bodies.

Overview
This presentation will focus on common ear complaints seen in the ER, Urgent Care, and Primary Care setting (including pediatrics). Otalgia in the absence of otitis externa is frequently misdiagnosed as middle ear fluid. We will go over the most common cause of otalgia presenting to the UC/ER - TMD exacerbation- with diagnostic video and treatment algorithm. Sudden hearing loss occurs 66,000/year in US. Determining conductive versus sensorineural loss is key to avoid risking permanent hearing loss. Participants will learn best diagnostic practices leading to best treatment and referral patterns. We will go over most common Tympanic Membrane presentations (myringosclerosis, TM perforations, retracted TM, Cholesteatomata) using HD images and videos. Techniques such as the valsalva maneuver, tuning fork, pneumatic otoscope, and tympanometry will be presented with HD videos to help increase diagnostic accuracy to >90%. We will discuss the need to confirm the resolution of pediatric serous otitis media by 3 months (and best techniques to do this). Children who have persistent SOM are at risk of speech, language, and developmental delay. We will also discuss another very common cause of ear pressure and fullness (early stages of Ménière's disease) which often presents to ER and Urgent Care - and best treatments.

Objectives

Understand the diagnostic inaccuracy for pediatric acute otitis media and serous otitis media in the US – are we good antibiotic stewards and are we following the guidelines?
Explain the necessity of checking the mobility of the TM.
Highlight the numerous adult ear complaints that are being misdiagnosed - otalgia, ear fullness, hearing loss, vertigo – and learn what conditions we’re missing.
Raise awareness of the tools and techniques that should be standard of care to raise ear diagnostic skills – and stop the antibiotic madness!

Speaker
Jeff LaCour, MD

Disclosure
This program was planned in accordance with AANP CE Standards and Policies.

The speaker has the following disclosures:

Educator for MAICO Diagnostics: otitis media, serous otitis media, sudden hearing loss, vertigo, otalgia, and ear fullness

All relevant financial relationships have been mitigated.

Disclaimer
Individuals who have contributed to the CE Center (content originally from the 2025 AANP National Conference) were carefully selected for their knowledge and experience in the subject area under review. This presentation is informational only and may contain opinions of the authors from their personal experience that do not necessarily express the opinions of the American Association of Nurse Practitioners (AANP). The activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Clinical practice is a constantly changing process and new information becomes available every day. Neither AANP nor the contributing individuals can warrant that the material will continue to be accurate, nor do they warrant that the material is completely free of errors upon publication. Attendees and participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

CE Credit Instructions

Read this activity description, including objectives and disclosures.
Complete all educational content:
- OnDemand Presentations: Click the Play button to watch the activity video lecture. To get full credit for the learning activity portion, you must watch all of the video content.
- Click on the Additional Resources button to review all additional materials provided (handouts and any other downloadable resources).
After completing all educational content, go to the Next Steps button:
- Submit the activity evaluation to receive full AANP CE/Rx credit.
- Click on the Get Certificate button. At the top of the certificate screen, use the provided dropdown menu and select AANP Certificate of Completion.
  - A copy of your certificate of completion will display on the screen for you to print or save. A copy of the certificate will also be emailed to you.
  - A copy of the certificate will be automatically added to your AANP CE Tracker.

Additional Information
For questions or more information concerning this online CE activity, please visit the AANP Help Center to find answers to frequently asked questions and request assistance.

0.93 Contact Hour(s) of CE