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,
Eggshell membrane membrane is derived commercially from the eggshells of industrial egg processors. In the United States, egg-breaking facilities generate more than 24 billion broken eggshells every year. There are various ways in which the membrane of an eggshell is separated from the shell, including chemical, mechanical, steam, and vacuum processes: see Eggshell and protein membrane separation. It may be prepared for use as a dietary supplement. The isolated membrane is partially hydrolyzed and dried to produce a powder, that is distributed as eggshell membrane (EM) for use as a dietary supplement. Eggshell membrane Eggshell membrane or shell membrane is the clear