AOM Flashcards
1
Q
When is peak age for otitis media?
A
6 - 18m
2
Q
Causes of AOM?
A
- Viral (25%)
- Step pneuma (35%)
- Haemophilus (25%)
- Moraxella (15%)
3
Q
Hx features AOM?
A
- Fever
- Ear pain / irritability
+/- - anorexia
- Vomiting
- Lethargy
4
Q
PEx features AOM?
A
- Poor landmarks of middle ear
- TM dull and opaque +/- bulging
- URTI signs
5
Q
Does red TM always mean AOM?
A
No. Many febrile or crying children have red TMs (just as they have red cheeks)
6
Q
Complications AOM?
A
- TM perforation: purulent otorrhoea, relief of pain
- Febrile convulsions
- Suppurative complications (mastoiditis, suppurative labyrinthitis, intracranial infection) UNCOMMON
7
Q
Which children should receive ABx in AOM?
A
Only children who are NOT:
- 12m+
- Mildly unwell
- Immunocompetent
8
Q
What is first line management if children are 12m+, mildly unwell and otherwise immunocompetent?
A
- Analgesia
- Reassurance
- Consider no ABx for 24 - 48h.
- Review in 24/48h or if not improving.
9
Q
Regime if ABx indicated in AOM?
A
- Amoxicillin 15mg/kg TDS
- Analgesia
