ear infections Flashcards
Otitis externa
inflammation of the outer ear
acute otitis media
inflammation of the middle ear with acute signs of infection
otitis media with effusion
presence of fluid in the middle ear without signs of inflammation or infection
causes of otitis externa
allergies, dermatologic causes, psudomonas aeruginosa, staphylococcus, or fungi
gram positive cause of otitis externa
staphylococcus species
gram negative cause of otitis externa
pseudomonas aeruginosa
pathogenesis of otitis externa
breakdown of skin-cerumen barrier leads to inflammation which can lead to pruritis and obstruction
clinical manifestations of otits externa
pain, discharge, edema and erythema, pruritis, and hearing loss
most common cause of otitis externa
pseudomonas aeruginosa
diagnosis of otitis externa
based on clinical findings
treatment of otitis externa
management of pain, removal of debris from ear canal, topical antimicrobial agents, anti-inflammatory agents
prevention of otitis externa
keep things out of ears, hearing aids maintenance, and drying ear after swimming
etiology of acute otitis media
streptococcus pneumoniae, nontypeable haemophilus influenzae, moraxella catarrhalis, virus
streptococcus pneumoniae
gram-positive coci
nontypeable haemophilus influenzae
gram-negative coccobacili
moraxella catarrhalis
gram-negative diplococci
most common cause of acute otits media
streptococcus pneumonia
leading cause of acute care visits and most common reason for prescribing antibiotics to children
Acute otitis media
reason why children 6-24 mo are more prone to ear infections
eustachian tube anatomy/physiology, immature immune system, large adenoids
acute otitis media pathogenesis
upper respiratory infection (usually viral); inflammation and edema of the mucosa, nasopharynx and Eustachian tube; obstruction of Eustachian tube; mucus, other secretions and pathogens accumulate behind the obstruction in the middle ear
otitis-conjunctivitis
ear pain beginning within 0-3 days of conjunctivitis onset
serous otitis media
another name for otitis media with effusion
which ear infection is more chronic
Otitis media with effusion (greater than 3 months, usually occurs after AOM)
clinical manifestations of otitis media with effusion
asymptomatic, hearing loss, feeling of fullness in ear, no ear pain or fever