Cases 1 Flashcards
What is the leading cause of acute OM?
Viral (70% of the time)
Gram positive cocci in chains = ?
Streptococcus
What is the test that differentiates between staph and strep? What is the result for each?
Catalase test
Strep is catalase negative
Staph is positive
How do differentiate staph aureus from other staph species?
Staph aureus is coagulase positive
What are the four gram positive rods?
Clostridium
Corynebacterium
Listeria
bacillus
alpha hemolytic strep = ?
S. pneumoniae or strep viridans
Beta hemolytic strep = ?
Staph pyogenes
Staph agalactiae
Gamma hemolytic strep = ?
Peptostreptococcus
How do you differentiate between S pneumoniae and viridans strep, since both are alpha hemolytic?
S pnueumoniae is optochin sensitive and bile souble
viridans is not afraid of da chin
How do you differentiate between group A strep (pyogenes) and group B strep (agalactiae)?
Group A is bacitracin sensitive
What does alpha hemolysis result in?
Partial,, green clearing of the blood agar
What does beta hemolysis result in?
Clear hemolysis
What is the abx of choice for acute OM? What if this is contraindicated?
Amoxicillin
TMP-SMX
What is the bacterial class that amoxicillin targets?
Gram positive
What does insufflation test?
Eustachian tube, not the TM
What is the abx treatment for recurrent OM?
Augmentin
What are the complications of OM?
- TM perforation
- Tympanosclerosis
- mastoiditis
- Meningitis
Clear fluid behind the TM indicates what?
Eustachian tube dysfunction
If the insufflation test produces movement of the TM, what does this indicate?
That there is not eustachian tube pathology