An official website of the United States government
Here's how you know
Official websites use .mil
A
.mil
website belongs to an official U.S. Department of Defense organization in the United States.
Secure .mil websites use HTTPS
A
lock (
lock
)
or
https://
means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.
Skip to main content (Press Enter).
Toggle navigation
Walter Reed National Military Medical Center
Walter Reed National Military Medical Center
Search
Search This Site:
Search
Search This Site:
Search
Getting Care
Appointments & Referrals
Integrated Referral Management and Appointing Center
MHS GENESIS
Civil Liberties
Reporting a Civil Liberties Violation
Ethics Consultation Program
Healthcare Resolutions
HIPAA
Nurse Advice Line
Patient Administration Department
Patient Accountability
Patient Rights & Responsibilities
Patient Safety Office
Patient Transfer
Planning Your Visit
Dining
Directions and Transportation
Inclement Weather Guidance
Lodging
Parking
Public Wireless
Privacy
Visitor Guidelines
Patient and Family Partnership Council
WRNMMC Security
Health Services
Primary Care
Internal Medicine Service
Adult Disease Management Service
Hospital Medicine
Integrative Health & Wellness
Mind-Body Medicine
Medication Reviews
Patient Centered Medical Home (PCMH) Teams
Integrated Patient-Centered Medical Home
Pediatric, Adolescent and Young Adult Medicine
Pediatric Primary Care Clinic
Adolescent & Young Adult Medicine
Executive Medicine
Preventive Care
Medical Readiness
Immunizations
COVID-19 Vaccine
COVID-19 Vaccine Safety
Public Health
Public Health Nursing
Hospital Care & Surgery
Interdisciplinary Pain Management
Chiropractics
Ambulatory Procedure Unit
Bariatric Surgery
Cardiothoracic Surgery
Main Operating Room
Oral & Maxillofacial Surgery
Organ Transplant
Otolaryngology, Head & Neck Surgery
Hearing Loss Referral Guidelines
Sleep Apnea Referral Guidelines
Nasal Trauma Referral Guidelines
Neck Mass Referral Guidelines
Otitis Referral Guidelines
Salivary Gland Mass
Sinusitis Referral Guidelines
Thyroid Nodules Referral Guidelines
Tonsils and Adenoid Disease Referral Guidelines
Tympanic Membrane Perforation Referral Guidelines
Facial Plastic and Reconstructive Surgery
Head & Neck Oncology
Referral Guidelines Otolaryngology, Head and Neck Division
Laryngology
Neurotology
Pediatric Otolaryngology
Rhinology
Sleep Medicine
Otolaryngology Resources
Vascular Surgery
Anesthesia
Colorectal Surgery
General Surgery
Neurosurgery
Neurosurgery in the National Capital Region
Orthopaedic Surgery
Physical Medicine & Rehabilitation
Plastic Surgery
Project CARE Comprehensive Aesthetic Recovery Effort
Trauma Surgery
Blood Services
Critical Care Nursing
Osseointegration
Osseointegration FAQs
Neonatology
Neonatal Intensive Care Unit
Urgent & Emergency Care
Emergency Room FAQs
Mental Health
Addiction Treatment
Adult Outpatient Behavioral Health
Behavioral Health Emergency
Child and Adolescent Outpatient Behavioral Health
Social Work and Grief Support
Resources
Wellness Network
Medical Equipment & Supplies
Lab Tests & Radiology
Centralized Screening Area
Laboratory
Radiation Safety
Radiology
Breast Imaging
Diagnostic Radiology (X-ray, MRI, CT, US, Fluoro, Mammo)
Nuclear Medicine
Radiology Archives
Transplant Immunology Lab
Specialty Care
Allergy/Immunology Service
Cardiology
Cardiac Catheterization Laboratory
Cardiac CT / Coronary CT Angiography
Cardiovascular Health Assessment, Management, and Prevention
Dermatology
Gastroenterology Services
Infectious Disease Clinic
Urology
Amputee Care
Audiology & Speech Pathology
Audiology Clinic
Audiology Volunteer for a Study
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC)
Development of Auditory Fitness-for-Duty Standards
Advanced Computational Models of Hearing Loss
Clinical and Field Studies of Hearing Aid Performance
Evaluation of Advanced Hearing Protection Systems
Spatial Hearing
Multisensory Integration
Speech, Voice, and Swallowing Function
Speech Perception in Noise
Audiology and Speech Pathology Center Current Research Areas
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Funding Sources
Recent Staff Publications
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Collaborators
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Key Capabilities
Speech Pathology Clinic
Hearing Conservation
Chiropractic Clinic
Patient Education
New Patients
Endocrinology, Diabetes & Metabolism
Diabetes Institute
Diabetes Classes
Gastroenterology & Hepatology Service
Are you age 50 or above?
Colon Health Initiative
Colorectal Cancer
Consultative Care
Endoscopy
Explanations of Digestive Disorders
Gastroenterology Patient Education
GI Staff
Hepatology
IBD Clinic
Manometry Clinic
Staff Qualifications and Experience
Treating G.I. Disorders
Virtual Colonoscopy
Geriatrics & Palliative Care
Medical Evaluation & Treatment Clinic (METC)
Murtha Cancer Center
About Murtha Cancer Center
A Letter From the Director
MCC Annual Report
MCC Cancer Reporting Outcomes
MCC Membership
MCC Research & Funding News
Upcoming Events
Advance Care Planning
Appearance Consultation
Breast Care and Research Center
Cancer Genetics Services
Counseling Services
Dermatologic Oncology/Mohs Surgery
Gynecologic Oncology Service
Hematology Oncology
Orthopaedic Oncology
Benjamin Kyle Potter, MD
Jonathan Agner Forsberg, MD
Pediatric Hematology Oncology
Pediatric Survivorship Clinic
Radiation Oncology
Support Services
School Reentry Program
Adolescent and Young Adult Program
Surgical Oncology
Craig D. Shriver, MD, FACS
Col Peter Learn, MD
LCDR Michele M. Gage, MD
Urologic Oncology
National Intrepid Center of Excellence (NICoE)
Nephrology
Neurology
Appointment Request
Nutrition Services
Inpatient Clinical Nutrition Services
Outpatient Clinical Nutrition Services
Dining Facility Services
Occupational Therapy
Orthopaedics & Rehabilitation
Pain Management Clinic
Palliative Medicine
Peripheral Nerve Clinic
Physical Therapy
Physical Therapy Home Exercise Videos
Prosthetics & Orthotics
Pulmonary Medicine
Rheumatology
Sleep Clinic
Case Management
Dental
Dental Clinics
General Dentistry
Hospital Dentistry
Primary Care Dentistry
Pharmacy
Frequently Asked Questions (FAQs)
Poison Prevention
Storing Medication
Taking Medication
Q-Anywhere
Vision
Ophthalmology
Optometry
Refractive Surgery
Frequently Asked Questions (FAQs)
Women's Health & Pregnancy
Breast Imaging Center
Gynecology
Women's Health
Maternal Fetal Medicine
Mother & Infant Care Center
Obstetrics
Pregnancy & Child Birth
Prenatal Assessment Center
Reproductive Endocrinology and Infertility
Urogynecology
Contraceptive Care
Men's Health
Prostate Center of Excellence
Urology
Children's Health
Armed Forces Center for Child Protection
Pediatric Subspecialties
Developmental and Behavioral Pediatrics
Attention Deficit Hyperactivity Disorder (ADHD)
Healthy Habits
Pediatric, Adolescent & Young Adult Disease Management Service
Pediatric and Adult Congenital Cardiology
Pediatric and Adult General Genetics
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Pulmonology
Pediatric Rheumatology
Basic Information
Diagnosis & Treatment
FAQs - For Parents
FAQs - Information on Specific Diseases
Pediatric Neurology
Educational and Developmental Intervention Services
Hospital-Based Services
Readiness
Active Duty Medical/Dental Record
Medical Readiness
Overseas and Suitability Screening
Periodic Health Assessment (PHA)
PHA/Physical Examination Requirements
Operational Deployment Health
Medical Boards
Other
Cancer Center Clinical Trials
Warrior Care
Well-Wish Visit, Donation, Event Request Form
Warrior Clinic
Warrior Family Coordination Cell (WFCC)
Warrior and Family Coordination Cell: An Overview
Wounded Warrior Pain Care Initiative
Occupational Health
Carderock Clinic
Patient Resources
DHA Office of the Inspector General
FAQs
Forms
MHS Notice of Privacy Practices
Policies
Related Links
Advanced Care Planning
Communication Tools
Customer Service
Exceptional Family Member Program
Exceptional Family Member Program FAQs
Medical Records
Nurse Advice Line
Pastoral Care
Clinical Pastoral Education (CPE) Training Program
Crisis Support Tips
Scheduled Religious Services
Reports
Single Parent Support
Support Groups
Family Readiness Group
News & Gallery
Articles
DHA Health News
Alerts
Permanent Building and Hallway Closures
Brown Drive Closure
Pharmacy Optimization
CPAP, BiPAP, and Ventilator Recall Notification
COVID-19 Vaccine Update
NSAB Emergency Notification
Provider Deployments
Patient Entrances
WRNMMC Shuttle Services
Mask Policy
NSAB Power Outage
Notice Regarding Baby Formula
Annual Flu Vaccination Campaign
RSV
Adderall Notice
Temporary Pharmacy Closure
Citadel Shield
Vaccine Site CSA Closures
Compounded Medications
Patient Parking Update
Clinics
Branch Health Clinics
About Us
Contact Us
Directory
About the DHA
About the MHS
Vision and Mission
Leadership
Director
Chief of Staff
Command Senior Enlisted Leader
Facilities
Facts at a Glance
Our Rich History
NSAB Deers/ID Office
Tenant Commands & Activities
Navy Medical Support Detachment NAVMED
WBGT
3-D Medical Application Center (3-D MAC)
3-D Technologies
3-D Scanning Guidelines
3-D Printing Applications
3-D Application Examples
3-D Application Photos
Child Development Center
Accreditation
Acquisition Management
Civilian Careers
Command Duty Office
Construction
Construction FAQs
H Lot Parking Garage
MD 355 Crossing
Outpatient Annex
Department of Research Programs
Biomedical Research Laboratory (BRL)
Business Office
Cancer Center Clinical Trials
Center for Nursing Science & Clinical Inquiry (CNSCI)
Defense Medical Research Network
Department of Research Programs
Newsletter
Offered Courses
Research Compliance Office
Research Development
Research & Innovation Month
Important Documents
Research Oversight Office
Research Roundtable
Translational Research
Diversity, Equity and Inclusion
Education, Training & Research - ETR
Equipment Management
Environmental Health
Graduate Medical Education
Clerkships
GME Links
Graduate Medical Education Programs
Clinical Laboratory Immunology Fellowship
Fellowship Training Program
Application & Selection Process
Entry Criteria
Goals of Training
Overview of Training
Performance Evaluation
Values & Principles
General Internal Medicine Fellowship
IM Cardiovascular Disease Fellowship Training Program
Combined Internal Medicine & Psychiatry Residency
Critical Care Medicine Fellowship Training Program
Hematology-Oncology Fellowship Training Program
IM Pulmonary Disease & Critical Care Medicine
IM Pulmonary Disease & Critical Care Medicine Fellowship
IM Rheumatology Fellowship Training Program
Infectious Diseases Fellowship Training Program
Internal Medicine Gastroenterology Fellowship
Internal Medicine Internship
Internal Medicine Nephrology Rotation
Internal Medicine Residency
Hand Surgery Fellowship Training Program
Histocompatibility Director Training Program
NCC Adult Neurology Residency
NCC Anatomic and Clinical Pathology Residency
NCC Child Neurology Residency Program
National Capital Consortium (NCC) Dermatology Residency Program
NCC Dermatopathology Fellowship Training Program
National Capital Consortium Diagnostic Radiology Residency
NCC General Surgery Residency Program
The Neonatal Perinatal Medicine Fellowship
NCC Neurosurgery Residency Program
FAQs for Neurosurgery Applicants
Overview of NCC Neurosurgery Residency Program
NCC Oral and Maxillofacial Surgery Residency
NCC Orthopaedic Clerkship, Internship & Residency
NCC Orthopaedic Residency Application
NCC Orthopaedic Residency FAQs
The Military Match
NCC Otolaryngology Head & Neck Surgery
Pediatric Hematology-Oncology Fellowship
National Capital Consortium Pediatrics Residency
Pharmacy Residency Programs
PGY1 Pharmacy Residency Program
PGY2 Pharmacy Residency Program Nuclear Pharmacy
PGY2 Oncology Pharmacy Residency Program
NCC Physical Medicine & Rehabilitation Residency
NCC Psychiatry Residency Program
Radiation Oncology
NCC Residency in Obstetrics & Gynecology
Gynecologic Oncology
Minimally Invasive Laparoscopy Gynecologic Surgery
NCC Female Pelvic Medicine & Reconstructive Surgery Fellowship
OB-GYN Internship Interview Requirements
Sleep Medicine Fellowship Training Program
NCC Walter Reed Urology Residency Program
Postdoctoral Fellowship Training Program in Clinical Neuropsychology
Admissions Support & Initial Placement Data
Fellowship Training Activities
Postdoctoral Fellowship Application, Selection & Benefits
Postdoctoral Fellowship Curriculum
Postdoctoral Fellowship Performance Evaluation
Postdoctoral Fellowship Values
Postdoctoral Fellowship Training Program
Postdoctoral Fellowship Entry Criteria
Postdoctoral Fellowship Curriculum
Postdoctoral Fellowship Performance Evaluation
Postdoctoral Fellowship Exit Criteria
Postdoctoral Fellowship Overview of Training
Postdoctoral Fellowship Values & Principles
Postdoctoral Fellowship Training
Postdoctoral Fellowship Goals of Training
Fellowship_Values
Fellowship_Training_Activities
Curriculum
Application_Selection_and_Benefits
Postdoctoral_Residency_Admissions_Support_and_Initial_Placement_Data
Transitional Year Internship
Vascular Surgery Fellowship
Social Work Fellowship in Child and Family Practice
Observer Opportunities
Simulation Center
Training Verification
Welcome Class
History of the Neurosurgery Training Program
Sub-Internship Rotations
Industrial Hygiene
Military Onboarding
Deployment Support for Families
FFSO - Financial Assistance
FSSO - Transition Assistance
Financial Management
Fleet & Family Support Center (FFSC)
Fleet & Family Support (FFSO)
Life Skills Program
Manpower Management
Ombudsman
Operational Health Support Unit (OHSU)
Relocation Assistance Program
Sexual Assault Prevention & Response Program (SAPR)
Sponsor Program
Sponsor Program Photo Gallery
The Oakleaf Club of Greater Washington, DC
Transition Assistance Management Program
Welcome United States Army Element
Navy Psychology Training Programs
Navy Psychology Health Professions Scholarship Program
Uniformed Services University of the Health Sciences Department of Medical and Clinical Psychology
Frequently Asked Questions
How to Apply to USU Clinical Psychology
Navy Doctoral Internships In Clinical Psychology
Naval Medical Center San Diego Psychology Internship
Walter Reed National Military Medical Center Psychology Internship
The Navy Post-Doctoral Fellowship in Clinical Psychology
US Navy Clinical Psychology Licensed Direct Accession Program
NPDS
Nursing
Thank You Nurses
Office of General Counsel
Office of the Inspector General
Quality and Safety Reports
Pre-Eminence in Patient Care
Supply Chain Management
Volunteer
Wounded Warrior Care Center
Soldier Recovery Brigade
SRB FAQs
SRB Gift FAQs
SRB Leadership
Wounded Warrior Care
Warrior Clinic
Wounded Warrior Pain Care Initiative
How we support WRB
Supplemental Pain Services
Acupuncture
Mind Body Medicine
Interactive Pain Management Series
Tele-Pain
Pain Care Skills Training
Training for Providers
Provider Resource
Tele-Pain Services
Contact Information
Wounded Warrior and Family Information Repository
TRICARE
Patient Parking Update! Liberty Garage is open for patient parking. Arrowhead Garage closes June 2.
Learn more>>
Home
Health Services
Hospital Care & Surgery
Otolaryngology, Head & Neck Surgery
Otitis Referral Guidelines
Health Services
Redirecting...
Select...
Primary Care
- Executive Medicine
- Integrated Patient-Centered Medical Home
- Internal Medicine
- Pediatric, Adolescent & Young Adult Medicine
Executive Medicine
Preventive Care
- Immunizations
- Public Health
Hospital Care & Surgery
- Ambulatory Procedure Unit
- Anesthesia
- Bariatric Surgery
- Blood Services
- Cardiothoracic Surgery
- Children's Hospital-Based Services
- Colorectal Surgery
- Critical Care Nursing
- General Surgery
- Main Operating Room
- Neonatology
- Neurosurgery
- Ophthalmology
- Oral & Maxillofacial Surgery
- Organ Transplant
- Orthopaedic Surgery
- Osseointegration
- Otolaryngology
- Physical Medicine & Rehabilitation
- Plastic Surgery
- Refractive Surgery
- Trauma Surgery
- Vascular Surgery
Urgent & Emergency Care
- Emergency Room FAQs
Mental Health
- Addiction Treatment
- Adult Outpatient Behavioral Health
- Behavioral Health Emergency
- Child & Adolescent Outpatient Behavioral Health
- Social Work & Grief Support
- Wellness Network
Medical Equipment & Supplies
Lab Tests & Radiology
- Centralized Screening Area (CSA)
- Laboratory
- Radiation Safety
- Radiology
- Transplant Immunology Lab
Specialty Care
- Allergy, Immunology & Immunization
- Amputee Care
- Audiology & Speech Pathology
- Cardiology
- Chiropractic Clinic
- Dermatology
- Endocrinology, Diabetes & Metabolism
- Gastroenterology & Hepatology Service
- Genetics
- Geriatrics & Palliative Care
- Hearing Conservation
- Infectious Diseases
- Medical Evaluation & Treatment Clinic (METC)
- Murtha Cancer Center
- National Intrepid Center of Excellence (Traumatic Brain Injury Care)
- Nephrology
- Neurology
- Nuclear Medicine
- Nutrition Services
- Occupational Therapy
- Orthopaedics & Rehabilitation
- Pain Management Clinic
- Palliative Medicine
- Peripheral Nerve Clinic
- Physical Therapy
- Prosthetics & Orthotics
- Pulmonary Medicine
- Rheumatology
- Sleep Clinic
- Urology
Case Management
Dental
- Dental Clinics
- Oral & Maxillofacial Surgery
Pharmacy
- Poison Prevention
- Q-Anywhere
- Storing Medication
- Taking Medication
- Frequently Asked Questions
Vision
- Ophthalmology
- Optometry
- Refractive Surgery
Women's Health & Pregnancy
- Breast Imaging Center
- Contraceptive Care
- Gynecology
- Maternal Fetal Medicine
- Mother & Infant Care Center
- Obstetrics
- Pregnancy & Child Birth
- Prenatal Assessment Center
- Reproductive Endocrinology & Infertility
- Urogynecology
- Urology
Children's Health
- Adolescent & Young Adult Medicine
- Armed Forces Center for Child Protection
- Children's Hospital-Based Services
- Educational and Developmental Intervention Services
- Neonatology
- Pediatric Primary Care
- Pediatric Subspecialties
Men's Health
- Prostate Center of Excellence
- Urology
Readiness
- Active Duty Medical/Dental Record
- Medical Readiness
- Operational Deployment Health
- Medical Boards
Other
- Cancer Center Clinical Trials
- Department of Research Programs
- Occupational Health
- Warrior Care
Primary Care
Executive Medicine
Integrated Patient-Centered Medical Home
Internal Medicine
Adult Disease Management Service
Hospital Medicine
Integrative Health & Wellness
Mind-Body Medicine
Medication Reviews
Patient Centered Medical Home (PCMH) Teams
Pediatric, Adolescent & Young Adult Medicine
Pediatric Primary Care
Adolescent & Young Adult Medicine
Executive Medicine
Preventive Care
Immunizations
COVID-19 Vaccine Availability
COVID-19 Vaccine Safety
Public Health
Hospital Care & Surgery
Ambulatory Procedure Unit
Anesthesia
Bariatric Surgery
Blood Services
Cardiothoracic Surgery
Children's Hospital-Based Services
Colorectal Surgery
Critical Care Nursing
General Surgery
Main Operating Room
Neonatology
Neonatal Intensive Care Unit
Neurosurgery
History of the Neurosurgery Training Program
Neurosurgery in the National Capital Region
Neurosurgery Residency Program
Sub-Internship Rotations
Ophthalmology
Oral & Maxillofacial Surgery
Organ Transplant
Orthopaedic Surgery
Osseointegration
Osseointegration FAQs
Otolaryngology
Otolaryngology Resources
Hearing Loss Referral Guidelines
Sleep Apnea Referral Guidelines
Nasal Trauma Referral Guidelines
Neck Mass Referral Guidelines
Otitis Referral Guidelines
Salivary Gland Mass
Sinusitis Referral Guidelines
Thyroid Nodule Referral Guidelines
Tonsils & Adenoid Disease Referral Guidelines
Tympanic Membrane Perforation Referral Guidelines
Facial Plastic & Reconstructive Surgery
Head & Neck Oncology
Referral Guidelines Otolaryngology, Head & Neck Division
Laryngology
Neurotology
Pediatric Otolaryngology
Rhinology
Sleep Medicine
Physical Medicine & Rehabilitation
Plastic Surgery
Project CARE Comprehensive Aesthetic Recovery Effort
Refractive Surgery
Frequently Asked Questions
Trauma Surgery
Vascular Surgery
Urgent & Emergency Care
Emergency Room FAQs
Mental Health
Addiction Treatment
Adult Outpatient Behavioral Health
Behavioral Health Emergency
Child & Adolescent Outpatient Behavioral Health
Social Work & Grief Support
Wellness Network
Medical Equipment & Supplies
Lab Tests & Radiology
Centralized Screening Area (CSA)
Laboratory
Radiation Safety
Radiology
3-D Medical Applications Center
Breast Imaging
Diagnostic Radiology (X-ray, MRI, CT, US, Fluoro, Mammo)
Nuclear Medicine
Radiation Oncology
Radiology Archives
Transplant Immunology Lab
Specialty Care
Allergy, Immunology & Immunization
Amputee Care
Audiology & Speech Pathology
Audiology Clinic
Audiology Volunteer for a Study
Hearing Conservation
Scientific & Clinical Studies Section (SCSS) of the Audiology & Speech Pathology Center (ASC)
Advanced Computational Models of Hearing Loss
Audiology and Speech Pathology Center Current Research Areas
Clinical and Field Studies of Hearing Aid Performance
Development of Auditory Fitness-for-Duty Standards
Evaluation of Advanced Hearing Protection Systems
Multisensory Integration
Recent Staff Publications
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Collaborators
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Funding Sources
Scientific and Clinical Studies Section (SCSS) of the Audiology and Speech Pathology Center (ASC) Key Capabilities
Spatial Hearing
Speech, Voice & Swallowing Function
Speech Perception in Noise
Speech Pathology Clinic
Cardiology
Cardiac Catheterization Laboratory
Cardiac CT / Coronary CT Angiography
Cardiovascular Health Assessment, Management, and Prevention
Congenital Cardiology
Chiropractic Clinic
New Patients
Patient Education
Dermatology
Endocrinology, Diabetes & Metabolism
Diabetes Institute
Diabetes Classes
Gastroenterology & Hepatology Service
Are you age 50 or above?
Colon Health Initiative
Colorectal Cancer
Consultative Care
Endoscopy
Explanations of Digestive Disorders
Gastroenterology Patient Education
GI Staff
Hepatology
IBD Clinic
Manometry Clinic
Staff Qualification & Experience
Treating G.I. Disorders
Virtual Colonoscopy
Genetics
Geriatrics & Palliative Care
Hearing Conservation
Infectious Diseases
Medical Evaluation & Treatment Clinic (METC)
Murtha Cancer Center
About Murtha Cancer Center
A Letter from the Director
MCC Annual Report
MCC Cancer Reporting Outcomes
MCC Membership
MCC Research & Funding News
Upcoming Events
Advance Care Planning
Appearance Consultation
Breast Care & Research Center
Cancer Genetics
Counseling Services
Dermatologic Oncology/Mohs Surgery
Gynecologic Oncology Service
Hematology Oncology
Orthopaedic Oncology
Benjamin Kyle Potter, MD
Jonathan Agner Forsberg, MD
Palliative Medicine
Pediatric Hematology Oncology
Pediatric Survivorship Clinic
Support Services
Adolescent & Young Adult Program
School Reentry Program
Surgical Oncology
COL (ret) Craig D. Shriver, MD, FACS
LCDR Michele M. Gage, MD, FACS
Col Peter Learn, MD
Radiation Oncology
Urologic Oncology
National Intrepid Center of Excellence (Traumatic Brain Injury Care)
Nephrology
Neurology
Appointment Request
Procedures Instructions
Nuclear Medicine
Nutrition Services
Dining Facility Services
Inpatient Clinical Nutrition Services
Outpatient Clinical Nutrition Services
Occupational Therapy
Orthopaedics & Rehabilitation
Pain Management Clinic
Palliative Medicine
Peripheral Nerve Clinic
Physical Therapy
Physical Therapy Home Exercise Videos
Prosthetics & Orthotics
Pulmonary Medicine
Rheumatology
Sleep Clinic
Urology
Case Management
Dental
Dental Clinics
General Dentistry
Hospital Dentistry
Primary Care Dentistry
Oral & Maxillofacial Surgery
Pharmacy
Poison Prevention
Q-Anywhere
Storing Medication
Taking Medication
Frequently Asked Questions
Vision
Ophthalmology
Optometry
Refractive Surgery
Frequently Asked Questions
Women's Health & Pregnancy
Breast Imaging Center
Contraceptive Care
Gynecology
Maternal Fetal Medicine
Mother & Infant Care Center
Obstetrics
Pregnancy & Child Birth
Prenatal Assessment Center
Reproductive Endocrinology & Infertility
Urogynecology
Urology
Children's Health
Adolescent & Young Adult Medicine
Armed Forces Center for Child Protection
Children's Hospital-Based Services
Educational and Developmental Intervention Services
Neonatology
Neonatal Intensive Care Unit
Pediatric Primary Care
Pediatric Subspecialties
Developmental and Behavioral Pediatrics
Attention Deficit Hyperactivity Disorder (ADHD)
Healthy Habits
Pediatric, Adolescent & Young Adult Disease Management Service
Pediatric and Adult Congenital Cardiology
Pediatric and Adult General Genetics
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology Oncology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Neurology
Pediatric Pulmonology
Pediatric Rheumatology
Basic Information
Diagnosis & Treatment
FAQs - For Parents
FAQs - Information on Specific Diseases
Pediatric Urology
Men's Health
Prostate Center of Excellence
Urology
Readiness
Active Duty Medical/Dental Record
Medical Readiness
Overseas & Suitability Screening
Periodic Health Assessment (PHA)
PHA/Physical Examination Requirements
Operational Deployment Health
Medical Boards
Other
Cancer Center Clinical Trials
Department of Research Programs
Occupational Health
Carderock Clinic
Warrior Care
Warrior Family Coordination Cell (WFCC)
Warrior & Family Coordination Cell: An Overview
Well-Wish Visit, Donation, Event Request Form
Wounded Warrior Pain Care Initiative
Otitis Referral Guidelines
Diagnosis/Definition
Otitis media is a general term used to describe an inflammation in the middle ear space without reference to a specific cause.
Acute otitis media is defined as an episode of inflammation of less than 3 weeks duration.
Chronic otitis media is defined as inflammation lasting greater than 3 months. Both acute and chronic otitis media can be further characterized as purulent, mucoid, or serous in nature.
Complications of otitis media include tympanic membrane perforation, hearing loss (with subsequent delay in speech and language development), cholesteatoma (skin growth in the middle ear), mastoiditis, facial nerve paralysis, meningitis, and intracranial and/or neck abscess formation.
Initial Diagnosis and Management
Signs and symptoms of otitis media:
◦ Ear pain, fussiness and poor appetite in children
◦ Decreased hearing
◦ Otorrhea (drainage from the ear)
◦ Fever
◦ Middle Ear Effusion – fluid behind the eardrum
◦ Damaged eardrum – perforation or retraction pockets
◦ Conductive hearing loss
Ancillary Tests:
◦ Tympanometry is a highly reliable test for identifying middle ear effusion/pressure.
◦ Audiogram is indicated for patients with a suspected hearing loss.
Initial Management Of Uncomplicated Acute Otitis Media:
◦ For children less than 2 years: A 7-10 day course of a first line antibiotic (e.g., high dose amoxicillin if not allergic)
◦ For children over age 2 / adults – observation for up to 72 hours is appropriate with antibiotic therapy reserved those who worsen or show persistent symptoms
◦ If the infection resolves, any remaining middle ear fluid (see otitis media with effusion below) can be observed for up to 3 months before obtaining an audiogram and a referral to ENT.
Initial Management of Uncomplicated Chronic Otitis Media (With Effusion):
◦ Initial management of otitis media with effusion should include one course of a first line antibiotic and observation for 3 months.
◦ At 3 months an audiogram should be obtained followed by a referral to ENT if the effusion persists or there is significant hearing loss
◦ An earlier referral can be considered in patients with known sensorineural hearing loss, cleft palate or another craniofacial syndrome, pre-existing speech delay, or immunodeficiency
Indications for Specialty Care Referral
Multiple episodes of acute otitis media that produce significant quality of life impairment for the patient and family
Persistent otitis media with effusion beyond 3 months in an uncomplicated patient
Otits media with effusion in a complicated patient who is at higher risk for a complication such as cleft palate, Trisomy 21, pre-existing hearing loss, immunodeficiency, etc.
Otorrhea that does not resolve rapidly with medical therapy
Concern for complications of otitis media such as tympanic membrane damage, hearing loss, or cholesteatoma
Contact Us
Hours
Monday thru Friday 0730 - 1630
Phone
Front Desk:
(301) 295-4664
DSN:
295-4664
Appointments:
(855) 227-6331
Don't forget to keep your family's information up-to-date in
DEERS
.