Mastoiditis Flashcards
1
Q
What is mastoiditis?
A
bacterial infection of mastoid air cells
2
Q
What is this a complication of?
A
AOM not properly treated
3
Q
What is the most common organism to cause this?
A
Pneumococcus
4
Q
What are the symptoms?
A
wks to days after AOM
fever, throbbing pain, postauricular pain, skin erythema. TTP over mastoid, swelling, pinna displaced downward
5
Q
What is the dx?
A
CT mastoid is rare
usually myringotomy for culture if not improved after 48 hr
6
Q
What is the tx?
A
vanco and ceftriaxone IV
Mastoidectomy if fails medical treatment
7
Q
What are complications?
A
perforation in TM, extend through mastoid cortex –> abscess
rarely extends causing temporal lob asbcess and spsis
