ear

Question 1

name all the ear diseases

Answer 1

• ear wax
• EUSTACHIAN TUBE-
  FUNCTION
• otitis externa

Question 2

name all the medicines in ear diseases

Answer 2

• Cerumenolytics
• oil based - almond, olive , peanut - cheapest
• water based
• peroxide proudcts, urea
• Oral antihistamines
• To remove water after swimming: Swim-Ear®
  (glycerin)
• Dry skin on pinna: emollient (Diprobase®,
  Epaderm®, Aveeno®)
• sucking sweets
• oral decongestants sudafed
• ## otovent children

Question 3

describe symptoms and treatment of ear wax and when to refer?

Answer 3

• ear disomfort
• pain - middle
• hearing loss
• Mucinous discharge

treatment

• oil based, almond oil cheapest
• water based
• cerumol

Question 4

describe the symptoms of otitis externa

Answer 4

• Generalised inflammation of external ear
   Initially irritation » scratching » pain/trauma
• Discharge if present is not mucopurulent
• refer when fever symptoms still there after 7 days

treatment:
oral antihistamines
diprobase
 dry skin olive oil
swim ear -  glycerin
- acetic acid - earcalm spray

Question 5

Eustachian tube function describe treatment etc

Answer 5

• loss of hearing and pain
• drains mucus from middle ear
• ringing in ears
• dizziness

treatment

• sucking sweets
• swallowing
• oral decongenstants - sudafed
• otovent

Question 6

how to place the medicine

Answer 6

Wash hands
 Warm bottle in hands for a few minutes
 Tilt head to one side with ear pointing to ceiling.
 Instil 5 drops. Remain in position for 5 minutes
then treat opposite ear. Repeat bd/tds.
 Use cotton wool plug if necessary
 Wash hands
 Use for 3-4 days or as per manufacturers’
direction
 Consider syringing by doctor if not cleared up