Discharging ears Flashcards
what can cause discharge from the ears
otitis media/externa, cholesteatoma, CSF otorrhoea
what is the discharge like in otitis media, externa and cholesteatoma
media- mucous. externa- watery. cholesteatoma- offensive
symptoms acute otitis media
pain, fever, irritability, vomiting, anorexia often follows URTI
organism associated in otitis media
pneumococcus, haemophilus, moraxella
what happens to the drum in otitis media
bulging
treatment otitis media
analgesia. amoxicillin +- clavulanate
what may continuous discharge after otitis media indicate
mastoiditis, petrositis, labyrinthitis, facial palsy, meningitis, abscess
what are the symptoms of chronic otitis media
discharge, decr hearing, little pain
symptoms cholesteatoma
foul discharge, deafness, headache, pain, facial paralysis, vertigo
what is cholesteatoma
active squamous chronic otitis media. 5-15yrs. locally destructive around and beyond the pars flaccida
treatment cholesteastoma
mastoid surgery
what happens in mastoiditis
middle ear inflammation leads to destruction air cells in mastoid bone and abscess formation
signs in mastoiditis
incr temp, tender mastoid, protruding auricle
treatment mastoiditis
do CT. IV antibiotics, myringotomy, mastoidectomy
risk factors for otitis media
URTI, passive smoking, incr BMI and GORD in adults, adenoids, asthma, bottle feeding, pacifier/dummy
