discharging ear Flashcards
what else can be associated with it
pain hearing loss tinnitus dizziness itch facial pain or palsy
common causes
otitis media or externa
mastoditis
glueear/ear wax
necrotising otitis externa
what is otitis externa
inflammation of the auditory canal
who is it common in
females
over 45s
swimmers
types
acute
chronic
malignant
symptoms
pain discharge swelling erythema hearing loss
sign of otoscopy
narrowing of ear canal
erythema
prevention
caution with swimming
good ear hygiene
not sharing ear phones
different causes and management of acute and chronic
acute - s.aureus and pseunomdas spp saline and acetic acid alcohol for management wick insertion topic drops
chronic irritation fro drainage from perforated drum , avoid gentamicin if perforation has occurred
what is malignant otitis externa danger cause RF management
necrotising svere
spreads deeply may invade bone and temporal bone and meninges (life threatening)
pseudomonas auregionsa (cause)
elderly diabetics immunocompromised
treat 4-6weeks with ceftazdine and ciprofloxacin
what is otitis media
inflammation of middle ear
who
common in children
causes
m catarrhias, s pneumonia, h influenza
blockage of Eustachian tube
symptoms
fever pain impaired hearing POOR feeding red bulging tympanic membrane fluid present
ix
otoscopy swab and pus discharging positive webers test conductive feafness discharge red bulging tympanic membrane
management
amoxicillinor erythromycin if unwell
treat symptomatically such as decongestion should clear up within 5 days
what is cholestatoma
cholesterol deposits in the ear
caused after chronic otitis media
infla peforation of ear drum
what are the cysts made up of
cholesterol clefts and keratin filled cysts and kertasing squamous epithelium
symptoms wit cholestatoma
hhearing loss and discharge (smelly)
cranial nerve palsy 7 if not treated
management
myringoplasty and tympaniomastoidctomy
what is mastoiditis
inflammation of air space behind the ear
what is it associated with
otisis media infection complication
signs
fever malasia bulging tymp membrane swollen tender behind ear otalgia tenderness over mcewens triangle(antrum of ear) before mastoid process pan
complicatiosn
hearing lss
osteonmyletisis or bone erosison
cranial nerve plasy
