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,
Semipermeable membrane the rate and the permeability. Many natural and synthetic materials thicker than a membrane are also semipermeable. One example of this is the thin film on the inside of the egg. Note that a semipermeable membrane is not the same as a selectively permeable membrane. Semipermeable membrane describes a membrane that allows some particles to pass through (by size), whereas the selectively permeable membrane "chooses" what passes through (size is not a factor). An example of a biological semi-permeable membrane is the lipid bilayer, on which is based on the plasma membrane that surrounds all biological cells. A group of