ENT - Acute Otitis Media Flashcards
acute otitis media
acute inflammation of the tympanic cavity (middle ear)
viral - parainfluenzae,adenovirus
bacterial - haem influenzae, strep pneum,maraxalla catarrhalis, strep pyogenes
pre disposing factors for acute otitis media
young (shorter eustachain tube)
male
smoker
frequent contact with other children
formula feeding
symptoms of acute otitis media
discharge (bubbles = perforation)
irritability
deafness
fever
otalgia (ear pain)
how does the ear drum appear in acute otitis media
opacification of membrane
prominent dilated vessels
bulging membrane
most people recover from acute otitis media in ….
a.1 day
b.2 days
c.3 days
d.4 days
c.3 days
treatment for acute otitis media
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
treatment for acute otitis media in patient under 2 years with a bacterial infection
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
b.amoxicillin/clarithromycin 5- 7 days
treatment for acute otitis media in patient with drainage from the ear
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
b.amoxicillin/clarithromycin 5- 7 days
treatment for acute otitis media in patient with drainage from the ear
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
b.amoxicillin/clarithromycin 5- 7 days
treatment for acute otitis media in patient with systemic symptoms
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
b.amoxicillin/clarithromycin 5- 7 days
treatment for acute otitis media in patient with a vent in situ (mild pain only)
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
e.5 day topical aminoglycoside and steroid
e.5 day topical aminoglycoside and steroid
treatment for acute otitis media in patient <3 months with a temperature >38 c
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
e.5 day topical aminoglycoside and steroid
d.hospital admission
treatment for acute otitis media in patient >3 months with a temperature >39 c
a.analgesia and prescription for antibiotic if symptoms havent improved after 3 days
b.amoxicillin/clarithromycin 5- 7 days
c.insertion of a vent
d.hospital admission
e.5 day topical aminoglycoside and steroid
d.hospital admission
complications of acute otitis media
mastoid abcess
(can extend into surrounding tissue forming neck abcess - bezold@sternoceidomastoid citelli@posteriorbelly of digastric
if a mastid abcess moves superiorly it can cause
meningitis and cerebral abcess
