Ear infections Flashcards

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1
Q

Which population is mostly affected by acute otits media?

A

Pediatric population

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2
Q

What are the symptoms of otitis media?

A

1.Middle ear fluid
2.Hearing loss
3.Ear pain
4.mild bulging of the tympanic membrane
5.Intense erythema of the tympanic membrane
6.Fever

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3
Q

What are the risk factors of otitis media?

A

1.Age6-12months,5-6 years
2.Family History
3.Day care
4.Pacifier use
5.Limited resource
6.Tobacco smoke and air pollution

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4
Q

What reduces the risk of otitis media?

A

Breast feeding

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5
Q

Causes of Acute otitis media?

A

1.Nontypeable hemophilus influenza
2.Moraxella catarrhalis
3.Streptococcus aureus
4.GAS
5.Mycoplasma pneumoniae
6.E.coli
7.Staphlococcus aureus
Viral
1.RSV
2.Enteroviruses
3.Rhinoviruses

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6
Q

Describe the pathogenesis of Otitis Media?

A

REFER TO HANDOUT

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7
Q

Describe the treatment of otitis media?

A

Management of pain -analgesics with or without myringotomy
Antimicrobials

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8
Q

Why are antimicrobials adminstered?

A

1.Reduce complications
2.Reduce time to resolution

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9
Q

Complications of AOM?

A

1.Hearing loss
2.Balance and motor problems
3.Perforation
4.Myringosclerosis
5.CSOM
6.Mastoiditis
7.Intracranial complications like meningitis, epidural abscesses and brain abscesses

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10
Q

What is Otitis external?Other name?

A

Inflammation of the external auditory canal
Swimmer’s ear

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11
Q

What protects the ear from infections?

A

1.Tragus and conch cartilage help prevent forge in bodies
2.Cerumen helps create an acidic canal environment

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12
Q

Describe the pathogenesis of Otitis Externa?

A

REFER TO HANDOUT

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13
Q

Risk factors of Otitis Media?

A

Swimming
Trauma, cotton swabs
Devices
Allergic contact dermatitis
Dermatologic conditions e,g psoriasis
Prior radiation

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14
Q

Name two organisms that are part of the ear canal’s normal flora?

A

1.Staphylococcus Epidermis
2.Diptheroid species

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15
Q

Name two organisms that cause otitis externa?

A

1.Pseudomonas
2.Staphylococcus.

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16
Q

What are the clinical features of otitis external?

A

1.Pain
2.discharge
3.Pruritus
4.Edema
5.Typmanic membrane erythema

17
Q

Describe the management of patients with Otitis Externa.

A

Cultures: swabs of within external canal.