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 Is the Third Estate? What Is the Third Estate? What Is the Third Estate? () is a political pamphlet written in January 1789, shortly before the outbreak of the French Revolution, by the French thinker and clergyman Abbé Emmanuel Joseph Sieyès (1748–1836). The pamphlet was Sieyès' response to finance minister Jacques Necker's invitation for writers to state how they thought the Estates-General should be organized. In the pamphlet, Sieyès argues that the third estate – the common people of France – constituted a complete nation within itself and had no need of the "dead weight" of the two other orders, the first and second