Otitis Externa Flashcards
1
Q
what are the causes of otitis externa?
A
- infection = bacterial or fungal
- seborrhoeic dermatitis
- contact dermatitis
- recent swimming
2
Q
what bacteria commonly cause otitis externa?
A
- staph aurea
- pseudomonas aeruginosa
3
Q
what are the features of otitis externa?
A
- ear pain, itch, discharge
- pain on palpation of the tragus
4
Q
what is seen on otoscopy in otitis externa?
A
- red
- swollen
- eczematous canal
5
Q
what is the recommended initial management of otitis externa?
A
- topical antibiotic
- topical antibiotic + steroid
6
Q
what is the management of otitis externa with canal debris?
A
removal
7
Q
what is the management of otitis externa with extensively swollen canal?
A
ear wick
8
Q
what is the management if a patient with otitis externa fails to respond to topical antibiotics?
A
referral to ENT
9
Q
who is more likely to suffer from malignant otitis externa?
A
elderly diabetics
10
Q
what is the antibiotic of choice in otitis externa in diabetics?
A
ciprofloxacin
to cover pseudomonas
11
Q
what is the antibiotic of choice in otitis externa with systemic symptoms?
A
flucloxacillin
