Ear infections.

Question 1

How does otitis external present?

Answer 1

Pain and itch in ear canal. Minimal watery discharge.

O.E tragal tenderness, erythema, narrowing of acne.

Question 2

Management of otitis external:

Answer 2

All patients : aural care.

Mild = topical acetic acid 7/0

Moderate = topical otomozise (dezamthason, neomycin[antibiotic] and acetic acid)

Question 3

Most common causes of otitis media?

Answer 3

Viral = most common cause

Bacterial = strep pneumoiae or H influenza.

Question 4

1st line antibiotics for OM?

Answer 4

1) Amoxicillin

2) Clarithromycin

Question 5

Should antibiotics always be given in OM?

Answer 5

No, typical length of illness is 4 days.

Only give if child < 2, discharge, bilateral infection, multiple marked symptoms.

Not always given as benefit from taken them is slight i.e. does not improve deafnesss.

Question 6

If the tympanic membrane ruptures the majority of the time it heals on it’s own, if it doesnt what operation is performed?

Answer 6

Myringoplasty.

Question 7

Chronic OM infection can result in what complications?

Answer 7

Facial nerve palsy.

Intracranial abscesss.

Mastoiditis (Otalgia, tender mastoid, protruding auricle)

R

Question 8

Management of mastoiditis ?

Answer 8

IV Tazocin +/- removal of mastoid process.

Question 9

Management of supraglottis ?

Answer 9

IV ceftriaxone