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 Linnaeus himself published a Flora of his homeland Sweden, Flora Svecica (1745), and in this, he recorded the Swedish common names, region by region, as well as the scientific names. The Swedish common names were all binomials (e.g. plant no. 84 Råg-losta and plant no. 85 Ren-losta); the vernacular binomial system thus preceded his scientific binomial system. Linnaean authority William T. Stearn said: The geographic range over which a particularly common name is used varies; some common names have a very local application, while others are virtually universal within a particular language. Some such names even apply across ranges of