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,
Basilar membrane membrane is also the "base" for the sensory cells of hearing, the hair cells that are equipped with "Stereocilia". There are approximately 15,000 hair cells in each human ear (see figure). This function as base of the sensory cells gave the "basilar" membrane its name, and it is again present in all land vertebrates. Due to its location, the basilar membrane places the hair cells in a position where they are adjacent to both the endolymph and the perilymph, which is a precondition of hair cell function. A third, evolutionarily younger, function of the basilar membrane is strongly developed in