Otitis media secretions from the nasopharynx into the normally sterile middle-ear space, the fluid may then become infected — usually with bacteria. The virus that caused the initial URI (upper respiratory infection) can itself be identified as the pathogen causing the infection. As its typical symptoms overlap with other conditions, such as acute external otitis, clinical history alone is not sufficient to predict whether acute otitis media is present; it has to be complemented by visualization of the tympanic membrane. Examiners use a pneumatic otoscope with a rubber bulb attached to assess the mobility of the tympanic membrane. In more severe cases,
Common name or coinages; such names generally are difficult for laymen to learn, remember, and pronounce and so, in such books as field guides, biologists commonly publish lists of coined common names. Many examples of such common names simply are attempts to translate the Latinised name into English or some other vernacular. Such translation may be confusing in itself, or confusingly inaccurate, for example, "gratiosus" does not mean "gracile" and "gracilis" does not mean "graceful". The practice of coining common names has long been discouraged; de Candolle's "Laws of Botanical Nomenclature", 1868, the non-binding recommendations that form the basis of the modern