ENT

Question 1

How can you distinguish otitis media with effusion from acute otitis media?

Answer 1

Otitis media with effusion = LACK of acute inflammatory signs (fever, bulging of the tympanic membrane). Chidlren who recover from AOM often have persistent effusion for weeks but do not require ongoing antibiotic treatment.

Question 2

What is infectious/bullous myringitis, and what causes it?

Answer 2

vesicles on the tympanic membrane. Caused classically by mycoplasma, but strep pneumo or vises may be the culprit

Question 3

What is chronic suppurative otitis media?

Answer 3

hearing loss, tympani membrane perforation, otorrhea >6 weeks. No fever or ear pain; prolonged symptoms (vs AOM)

Question 4

What is otitis externa?

Answer 4

pain with tragal traction; erythematous and swollen external auditory canal +/- otorrhea

Question 5

Stapes footplate becomes fixed to the oval window, resulting in a loss of its piston action:

Answer 5

otosclerosis

Question 6

What is serous otitis media?

Answer 6

auditory tube dysfunction arising from HIV LAD or obstructing lymphomas

Question 7

What increases risk of acute otitis media?

Answer 7

exposure to cigarette smoke, recent or concurrent URI, day care, formula intake. Tx is oral amoxicillin