ear infections Flashcards
1
Q
name 2 bacterial causes of otitis externa
A
- pseudomonas
- S. aureus
2
Q
name 2 fungal causes of otitis externa
A
- aspergillus
- candida
3
Q
otitis externa presentation
A
- pain and itch in ear canal
- minimal water discharge
- on examination -> tragel tenderness, erythema and narrowing of canal
4
Q
otitis externa swab indication
A
non-resolving cases
5
Q
persistent and unilateral otitis externa = suspiction of
A
malignancy
6
Q
mild otitis externa management
A
- aural care
- topical acetic acid 7 days
7
Q
moderate otitis externa managment
A
- aural care
- topical otomize (dexamethasone, neomycin, acetic acid)
8
Q
otitis externa with spreading erythema and no improvement with otomize management
A
oral flucloxacillin
9
Q
otitis externa diabetic management
A
ciprofloxacin
10
Q
what is otitis media
A
infection of the middle ear
11
Q
otitis media causes
A
- usually viral in nature, follows on from upper respiratory tract infection due to tracking of infection up the eustachian tube
- bacterial -> strep pneumonia, H. influenzae
12
Q
otitis media presentation
A
- young child with earache, reduced hearing and mucopurulent discharge
- fever, irritability, vomiting and poor appetite
- pain caused by bulging of the tympanic membrane which settles upon rupture, with discharge following on from rupture
13
Q
otitis media management
A
- usually self limiting within 4 days
- rest, analgesia and fluids
14
Q
otitis media antibiotic indications
A
- child under 2
- discharge
- bilateral infection
- multiple marked symptoms
- perforation
15
Q
otitis media 1st line antibiotic
A
amoxicillin
