14: 18-month-old female with congestion Flashcards
Normal or abnormal: a translucent tympanic membrane in a neutral or retracted position?
Normal
What condition has fluid in the middle ear space without signs of fever or acute inflammation?
Otitis media with effusion
What condition is manifested by external auditory canal edema and pain with traction on the earlobe?
Otitis externa
What condition is characterized by bulging in the context of pain or intense erythema in the TM?
Acute otitis media
T/F: bottle propping, pacifier use, male gender, and formula feeds are risk factors for acute otitis media?
True
What are the 2 most common bacteria for AOM?
- S. pneumo
2. H. influenza
How long do 50% of middle ear effusions last after AOM?
1 month, but a smaller percent can last up to 3 months
What’s the best tx for AOM and covers S. pneumo?
Amoxicillin
Children age 6mos to 2 yrs with bilateral acute otitis media need what for sure?
Antibiotics
When does a kid with unilateral otitis media need antibiotics?
Toxic appearing, persistent ear pain for 48 hours, or fever >39 within past 48 hours
When do children need ear tubes?
If they have OME persisting 4 months or longer accompanied by hearing loss, dd, or risk of dd
When should children with a persistent effusion have a hearing assessment?
3 months
Viral or bacterial pneumonia: presents with moderate fever, dry cough, gradual onset of URI sx, bilateral wheeze?
Viral
Viral or bacterial pneumonia: presents with abrupt high fever, cough, ill-appearance, may follow URI, focal or subtle lung exam?
Bacterial
What organisms cause most sinusites?
S. pneumo and H. influenza
