discharging ear

Question 1

what else can be associated with it

Answer 1

pain 
hearing loss
tinnitus 
dizziness 
itch
facial pain or palsy

Question 2

common causes

Answer 2

otitis media or externa
mastoditis
glueear/ear wax
necrotising otitis externa

Question 3

what is otitis externa

Answer 3

inflammation of the auditory canal

Question 4

who is it common in

Answer 4

females
over 45s
swimmers

Question 5

types

Answer 5

acute
chronic
malignant

Question 6

symptoms

Answer 6

pain
discharge 
swelling
erythema 
hearing loss

Question 7

sign of otoscopy

Answer 7

narrowing of ear canal

erythema

Question 8

prevention

Answer 8

caution with swimming
good ear hygiene
not sharing ear phones

Question 9

different causes and management of acute and chronic

Answer 9

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

Question 10

what is malignant otitis externa 
danger
cause 
RF
management

Answer 10

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

Question 11

what is otitis media

Answer 11

inflammation of middle ear

Question 12

who

Answer 12

common in children

Question 13

causes

Answer 13

m catarrhias, s pneumonia, h influenza

blockage of Eustachian tube

Question 14

symptoms

Answer 14

fever
pain 
impaired hearing 
POOR feeding 
red bulging tympanic membrane
fluid present

Question 15

ix

Answer 15

otoscopy 
swab and pus discharging 
positive webers test conductive feafness 
discharge 
red bulging tympanic membrane

Question 16

management

Answer 16

amoxicillinor erythromycin if unwell

treat symptomatically such as decongestion should clear up within 5 days

Question 17

what is cholestatoma

Answer 17

cholesterol deposits in the ear
caused after chronic otitis media
infla peforation of ear drum

Question 18

what are the cysts made up of

Answer 18

cholesterol clefts and keratin filled cysts and kertasing squamous epithelium

Question 19

symptoms wit cholestatoma

Answer 19

hhearing loss and discharge (smelly)

cranial nerve palsy 7 if not treated

Question 20

management

Answer 20

myringoplasty and tympaniomastoidctomy

Question 21

what is mastoiditis

Answer 21

inflammation of air space behind the ear

Question 22

what is it associated with

Answer 22

otisis media infection complication

Question 23

signs

Answer 23

fever malasia
bulging tymp membrane
swollen tender behind ear
otalgia
tenderness over mcewens triangle(antrum of ear) before mastoid process pan

Question 24

complicatiosn

Answer 24

hearing lss
osteonmyletisis or bone erosison
cranial nerve plasy

Question 25

what is it associated with

Answer 25

diabetes
sarcoid
leukemia
infectious mono
lyme