Ear pain

Question 1

Name the ear pain ddx:

Discharge
Inflamed
Swollen exernal canal
Pain with pinna movement
TM normal/non visible

Answer 1

External otitis

Question 2

External otitis tx

Answer 2

Antibiotic ear drops

Question 3

Name the ear pain ddx:

Recent URI
Deep or severe pain
Unilateral
Sensation of fullness
Red bulging TM
Fever
Dec light reflex

Answer 3

AOM

Question 4

AOM tx

Answer 4

Hydrastis, aconite ear drops

Antibiotics if it doesn’t resolve

Question 5

Name the ear pain ddx:

Recent URI
Unilateral pain
Sensation of crackling or dec hearing
Fluid line/air behind TM
Conductive hearing loss

Answer 5

Otitis media with effusion

Question 6

OME tx

Answer 6

self resolving
Alternating hot n cold compresses

Surgery, ear tubes if no resolution

Question 7

Name the ear pain ddx:

Hearing loss
Recent perforated TM
Pearly white lesion on/behind TM

Answer 7

Cholesteatoma

Question 8

Name the ear pain ddx:

Hx recent otitis media
Chronic otitis pain behind ear
Swelling behind ear
Fever
Tenderness behind ear

Answer 8

Mastoiditis

Question 9

Mastoiditis tx

Answer 9

Emergency referral - IV antibiotics, possible surgery

Question 10

Name the ear pain ddx:

Hx flying, diving
Severe pain
Hearing loss
Sensation of fullness
Recent nasal congestion
Retraction or bulging of TM
Perforation of TM
Fluid in canal

Answer 10

Barotrauma

Question 11

Name the ear pain ddx:

Severe pain
Unilateral
Worse in morning
Malocclusion of mouth

Answer 11

TMJ disorder