External Ear 2.27.18 Flashcards
What is the treatment for otitis externa?
7-10 days of topical (drops) aminoglycoside or fluoroquinolone
(+/- steroids)
Which virus is responsible for Ramsay Hunt Syndrome
Herpes simplex virus
Which organism is most likely the infective agent of otitis externa?
Gram negative rod: Pseudomonas, Proteus
Name 2 complications of otitis externa
- Contact dermatitis (neomycin)
2. Malignant otitis externa - foul smelling discharge, deep otalgia
Treatment for malignant otitis externa
IV fluoroquinolones and surgery
Common middle ear infection bacteria (4)
- Streptococcus pneumoniae
- Haemophilus influenzae
- Moraxella catarrhalis
ABO treatment for middle ear infection
- Amoxicillin
- Augmentin
If PCN allergic: cephalosporin or macrolide
If TM ruptured: Amoxicillin + topical ABO: ofloxacin
Who counts as severe for otitis media
- SEVERE PAIN
- Lasts >48 hours
- Fever: >102.2
- Bilateral