Disorders of the ears

Question 1

external otitis is commonly known as

Answer 1

swimmers ear

Question 2

what is external otitis?

Answer 2

inflammation/infection of outer ear (auricle or canal)

Question 3

how does external otitis develop?

Answer 3

water becomes trapped in earwax and becomes a growth medium for bacteria

Question 4

what causes external otits

Answer 4

bacteria

dermatits

Question 5

clinical manifestations or external otits

Answer 5

pain and drainage

Question 6

what treats external otitis

Answer 6

antibiotic/steroid drops

prevention

Question 7

what is otitis media?

Answer 7

middle ear infection associated with collection of fluid or pus

Question 8

what are the different types of otitis media?

Answer 8

acute OM
Recurrent OM
OM with effusion (purulent, serous, mucoid)

Question 9

what is the most prevalent disease of early childhood?

Answer 9

otitis media

Question 10

what is the first line of tx for otitis media?

Answer 10

amoxicillin

Question 11

what is the second line of tx for otitis media?

Answer 11

augmentin

Question 12

what is the 3rd line of tx for otitis media?

Answer 12

omnicef

Question 13

what is the 4th line of tx for otitis media?

Answer 13

Rocephin injections

Question 14

what warrants a child to have ear tubes placed?

Answer 14

6 or more infection in 1 year

Question 15

risk factors for otitis media?

Answer 15

boys more than girls
6m-2yrs of age
non-breast fed
lying flat for feedings
exposure to cigarette smoke
pacifier use beyond infancy
family hx
allergies
craniofacial anomalies ( cleft palate, down syndrome)

Question 16

clinical manifestations of otits media

Answer 16

ear pain (otalgia)
irritable
holds or pulls on ear
may roll head from side to side
may have fever up to 104
can cause ruptured tympanic membrane

Question 17

if a child has chronic ear infections it can cause

Answer 17

hearing loss

Question 18

what is the drug of choice for otitis media?

Answer 18

amoxicillin

Question 19

chronic otitis media treatment

Answer 19

PE tubes ( Pressure equalization tympanostomy tubes)

Question 20

what can a child not do with ear tubes?

Answer 20

dive, jump, prolonged submersion
can swim but need ear plugs
avoid swimming in lakes and rives
avoid ear pressure postop

Question 21

what is an expected finding with ear tubes

Answer 21

drainage from ears

tubes will fall out on their own