Otalgia Flashcards
symptoms otitis externa
minimal discharge, itch, pain, tragal tenderness
what can cause otitis externa
moisture, high humidity, trauma, absence of wax, narrow canal, hearing aids
what organism is implicated in otitis externa
pseudomonas, staph aureus
complications otitis externa
hearing loss, canal stenosis
treat otitis externa
aural toilet- clean auditory meatus. if severe- thin pope wick inserted and hydrate with ear drops- sofradex
what should you be worried about it unilateral persistent otitis media in diabetics, immunosuppressed, elderly
risk of malignant/necrotising otitis externa
what should you be worried about if otitis externa is resistant to treatment
sign of malignancy- do a biopsy
what is furunculosis
very painful. staph aureus abscess arising from hair follicle
what is bullous myringitis
very painful. haemorrhagic blisters on deep meatal skin and drum. assoc with influenza.
what is barotrauma
if Eustachian tube is occluded (inflam, infection) then middle ear pressure cant be equalised- during descent aircraft, diving
what is a biopsychosocial cause of otalgia
temperomandibular dysfunction
symptoms TMJ dysfunction
earache, facial pain, joint clicking/popping, teeth grinding, stress
what can malignant/necrotising otitis externa lead to
temporal bone destruction and base of skull osteomyelitis
treatment malignant otitis externa
surgical debridement, systemic antibios, Ig
what are used as ear drops
betametasone
