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AAP > Middle Ear Disorders > Flashcards

Middle Ear Disorders Flashcards

1
Q

What are the potential causes of middle ear disorder? (5)

A

Trauma
Infection
Genetic / hereditary
Otoxicity
Metabolic

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2
Q

What type of loss will a middle ear disorder most likely cause?

A

Conductive loss

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3
Q

What is the cause for acute otitis media non suppurative

A

Eustachian tube malfunction

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4
Q

What happens to middle ear during acute otitis media non suppurative

A

Negative pressure in middle ear causes mucus to be build up
Sudden hearing loss often unilateral
Blocked up feeling
Retracted TM

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5
Q

How do you treat acute otitis media non suppurative?

A

95% time it will resolve itself
Drain fluid from middle ear
Decongestants
Grommet placement

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6
Q

Describe chronic non suppurative otitis media (glue ear)

A

Common in children
Thick sticky mucus
Eustachian tube malfunction
ET size & shape (more horizontal & shorter in children)
Bilateral conductive loss is only symptom
TM grey, yellow in colour with dilated blood vessels no light reflection

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7
Q

How do you treat chronic non suppurative otitis media (glue ear)

A

Most resolve in 1-2 months
Decongests
Myringotomy & grommet (aeration)
Hearing aids if recurrent

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8
Q

Describe Accute suppurative otitis media stage 1

A

Infection arrives
Irritation
Eustachian tube blocked
Negative pressure
Retracted TM
No light reflex

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9
Q

Describe Accute suppurative otitis media stage 2

A

Stage of redness
Dilation of blood vessel on TM
TM appears fiery red
Increased pain & hearing loss
Possible fever
Starts to cause hearing loss (mild)

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10
Q

Describe Accute suppurative otitis media stage 3

A

Stage of suppuration
Increased severe pain
Feeling of fullness
Pus builds up in ME cavity
TM begins to bulge into TM

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11
Q

Describe Accute suppurative otitis media stage 4

A

Resolution
TM has ruptured / perforated
Myringotomy surgery
Less pain
Drainage of pus

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12
Q

How to treat acute suppurative otitis media

A

Antibiotics
Decongestants

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13
Q

What is chronic suppurative otitis media

A

Untreated or incomplete treatment is ASOM
Irreversible changes to structure / function of middle ear
Possible destruction of ossicles
May damage cochlea via TM
Conductive hearing loss

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AAP (9 decks)

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