Acute petrositis, left ear
ICD-10 H70.212 is a billable code used to indicate a diagnosis of acute petrositis, left ear.
Acute petrositis is an inflammatory condition affecting the petrous part of the temporal bone, typically resulting from a complication of otitis media or mastoiditis. This condition is characterized by severe ear pain, fever, and potential neurological symptoms due to the proximity of the petrous bone to critical structures such as the inner ear and cranial nerves. Patients may present with unilateral hearing loss, tinnitus, and vertigo, particularly when the left ear is involved. Diagnosis is often confirmed through imaging studies, such as CT or MRI, which can reveal bone erosion or fluid collections. Management typically involves aggressive antibiotic therapy, and in some cases, surgical intervention may be necessary to drain abscesses or debride infected tissue. Prompt recognition and treatment are crucial to prevent complications such as meningitis or cranial nerve damage.
Detailed history of present illness, physical examination findings, imaging results, and treatment plans.
Patients presenting with severe ear pain, fever, and hearing loss, often following a recent upper respiratory infection.
Ensure clear documentation of the side affected and any neurological symptoms to support the diagnosis.
Clear imaging reports indicating findings consistent with petrositis, including any abscess formation.
Imaging studies ordered for patients with suspected complications of otitis media.
Radiologists should specify the findings related to the petrous bone and any adjacent structures.
Often performed in conjunction with evaluation of ear pain.
Document the reason for cerumen removal and any associated symptoms.
Otolaryngologists should ensure that the procedure is linked to the diagnosis of petrositis.
Common symptoms include severe ear pain, fever, hearing loss, tinnitus, and vertigo. Patients may also exhibit neurological symptoms due to the proximity of the petrous bone to cranial nerves.
