Eye/Ear Flashcards
Otitis Media
Inflammation of the middle ear with the presence of fluid
Types of otitis media
- Acute otitis media (AOM)
2. Otitis media with effusion (OME)
Acute Otitis Media
Infected fluid in the middle ear
- Common secondary infection from an upper respiratory infection
Acute Otitis Media (viral or bacterial?)
Could be either
S/Sx of AOM
- Pain
- Fever
- Pressure
- Irritability
- Tugging at the ears
- Difficulty sleeping
- Loss of appetite
AOM Management
- Bacterial: antibiotics
- Viral: observational (let it run its course)
1. Analgesics
2. Hot/cool compresses
3. Numbing eardrops
4. Xylitol gum
5. Flu vaccine
AOM Complications
- Hearing loss
- Speech delay
- Scarring of the tympanic membrane
- Perforation
Risk Factors for Acute Otitis Media
- Eustachian tube dysfunction
- Family history
- Passive smoking
- Absence of infant breastfeeding
- Presence of allergies
AOM Otoscopic Examination
The tympanic membrane will have a dull or opaque appearance and is bulging and/or red. Sometimes pus (green or yellow) may be visible.
AOM Positioning
Instruct the family to have the child lie on the affected side with the heating pad or covered ice pack in place to that ear.
S/Sx of perforation
If there is a perforation, the child may feel a decrease in pain as well as fluid draining from the site.
Otitis Media with Effusion
Fluid within the middle ear space, without signs and symptoms of infection
- Can be independent of AOM or after the infection has resolved
S/Sx of OME
- May be asymptomatic
2. Complaints of “popping” of the ears or fullness
OME Treatment
Resolves spontaneously (may take several months to resolve).
Persistent or problematic OME is treated with PE tubes.
Must be rechecked every 4 weeks until resolved.
** No bottle propping
OME Complications
- AOM
- Hearing loss
- Deafness