External Ear 2.27.18 Flashcards

1
Q

What is the treatment for otitis externa?

A

7-10 days of topical (drops) aminoglycoside or fluoroquinolone

(+/- steroids)

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2
Q

Which virus is responsible for Ramsay Hunt Syndrome

A

Herpes simplex virus

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3
Q

Which organism is most likely the infective agent of otitis externa?

A

Gram negative rod: Pseudomonas, Proteus

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4
Q

Name 2 complications of otitis externa

A
  1. Contact dermatitis (neomycin)

2. Malignant otitis externa - foul smelling discharge, deep otalgia

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5
Q

Treatment for malignant otitis externa

A

IV fluoroquinolones and surgery

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6
Q

Common middle ear infection bacteria (4)

A
  1. Streptococcus pneumoniae
  2. Haemophilus influenzae
  3. Moraxella catarrhalis
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7
Q

ABO treatment for middle ear infection

A
  1. Amoxicillin
  2. Augmentin

If PCN allergic: cephalosporin or macrolide

If TM ruptured: Amoxicillin + topical ABO: ofloxacin

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8
Q

Who counts as severe for otitis media

A
  1. SEVERE PAIN
  2. Lasts >48 hours
  3. Fever: >102.2
  4. Bilateral
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