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 coin (and put into common use) comprehensive, useful, authoritative, and standardised lists of new names. The purpose typically is: Other attempts to reconcile differences between widely separated regions, traditions, and languages, by arbitrarily imposing nomenclature, often reflect narrow perspectives and have unfortunate outcomes. For example, members of the genus "Burhinus" occur in Australia, Southern Africa, Eurasia, and South America. A recent trend in field manuals and bird lists is to use the name "thick-knee" for members of the genus. This, in spite of the fact that the majority of the species occur in non-English-speaking regions and have various common names,