Middle Ear Basic Flashcards
Acute Otitis media - ES cause
ES too small OR ES inflamed shut
Age range of eustachian tube growing
Birth - age 2
OM w/ diffusion fluid type
Clear
AOM - common bacteria
<3 months
E coli
S aureas
AOM - common bacteria
3 months - 14 years
S pneumoniae
H influenzae
M catarrhalis
AOM - common bacteria
>14 yrs
- S pneumoniae
- GAS (group a hemolytic strep)
- S aureus
Most frequent dx in sick children + most common antibio administration reason
Acute otitis media
Peak incidence AOM
6-18 months old
PCV 7 / 13 vaccines treat only
Strep pneumo
Risk factors for AOM
Smoke, pollution
Day care, family exposure
AOM presentation
OTALGIA, +/- OTORRHEA
Headache, apathy
AOM signs
fever, irritability, poor feeding
AOM = BC vs. AC?
BC>AC
Gold standard for AOM dx
pneumatic otoscopy
Good extra support evidence for AOM dx?
URI