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,
What Work Is workers, but artists, readers, and academics. Levine's poetry is accessible and moving and is utterly American. The poems in "What Work Is" are more subtle in their thematic construction. Levine does not use caricatures in these poems but instead intimates real blue-collar workers. Many of the poems give a representation of a station of life not common in the subject matter of contemporary American poetry. Although not all of "What Work Is" is primarily about the working class. Instead the poems have a wide range and variety. However many of these poems, despite their subject matter, show elements that identify