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 had not the author introduced into it so many new English names, that are to be found in no dictionary, and that do not preclude the necessity of learning with what Latin names they are synonymous. A tolerable idea may be given of the danger of too great a multiplicity of vulgar names, by imagining what geography would be, or, for instance, the Post-office administration, supposing every town had a totally different name in every language. Various bodies and the authors of many technical and semi-technical books do not simply adapt existing common names for various organisms; they try to