Infection- Otitis Media Flashcards

1
Q

What is otitis media?

A

An infection/inflammation of the air filled space behind the eardrum (middle ear)

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2
Q

When is otitis media more common?

A

In the winter, males less than 5y/o

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3
Q

Child care, allergies, smoking, diagnoses, ethnicity, physiology and the pressure from sucking on a pacifier are all what?

A

Risk factors

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4
Q

What protects the middle ear?

A

Tympanum (Eardrum)

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5
Q

What kind of dysfunction is in the pathophysiology of otitis media?

A

Eustachian tube dysfunction

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6
Q

What type of otitis media is it when there’s a blockage of the Eustachian tube, w/ no inflammation but fluid instead and usually occurs after AOM and lacks the s/s of an infection?

A

Serous otitis media w/ effusion (OME)

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7
Q

What type of otitis media is it when it is a reoccurring short and painful ear infection w/in the middle of the ear that becomes inflamed and infected?

A

Acute otitis media (AOM)

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8
Q

What type of otitis media is it when it is a long-standing infection (at least 6wks) of the middle of the ear from an eardrum perforation that has not healed, is not infected but results from the infection/inflammation it previously had?

A

Chronic otitis media

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9
Q

What is the cyst or mass filled area in the middle of your ear that produces collagenous enzymes that destroys ossicles and erodes the inner ear?

A

Cholesteatoma

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10
Q

What bacteria’s trigger otitis media?

A

Strep. pneumoniae, haemophilus influenza, and Moraxella catarrhalis

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11
Q

Pulling on ear, irritability, malaise, poor feeding, redness/bulging of TM are all what?

A

S/S of acute otitis media

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12
Q

Difficulty hearing, membrane retracted or neutral, fluid in mid ear w/o inflam, middle ear effusion are all what?

A

S/S of serous otitis media

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13
Q

What are some other professionals you should collaborate w/ if a child has otitis media?

A

Audiologist, speech therapist, teacher, primary nurse

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14
Q

Impedence audiometry- tympanometry, CBC, tympanocentesis or myringotomy, special gradient acoustic reflectometry, and audiologic testing are all what?

A

Diagnostic tests

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15
Q

When should you take a C/S on a pt w/ otitis media?

A

If it is reoccuring

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16
Q

Which type of otitis media doesn’t really need treatment?

A

Serous

17
Q

If otitis media is not allergen related what type of meds are not really helpful to give?

A

Antihistamines, decongestants, or steriods

18
Q

What type of ear drops are given to treat otitis media?

A

Benzocaine (Americaine-Otic)

19
Q

What other meds besides antibiotics are given to treat otitis media?

A

Acetaminophen (Tylenol) or Ibuprofen (Advil)

20
Q

What type of surgical procedures can be performed in a pt. w/ otitis media?

A

Myringotomy or tympanocentesis

21
Q

What surgical procedure for otitis media decreases the pressure or severe pain?

A

Tympanosotmy tubes