Otitis Externa Flashcards

1
Q

How does otitis externa present?

A

Watery discharge
Itching
Pain and tragal tenderness

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2
Q

What can cause otitis externa?

A

Moisture, e.g. swimming
Trauma. e.g. fingernails
Absence of wac
Hearing aid

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3
Q

What organisms cause otitis externa?

A

Mainly pseudomonas

S. aureus

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4
Q

How is otitis externa managed?

A

Aural toilet with drops

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5
Q

What are the options for drops used in otitis externa?

A

Bethamethasone
Betamethasone with neomycin
Hydrocortisone with gentamicin
Acidifying drops

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6
Q

When are bethamethasone drops used in otitis externa?

A

For non-infected eczematous OE

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7
Q

What is malignant otitis externa?

A

A life-threatening infection which can lead to skull osteomyelitis

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8
Q

What % of patients with malignant otitis externa are diabetic, or otherwise immunocompromised?

A

90%

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9
Q

How does malignant otitis externa present?

A

Severe otalgia which is worse at night
Copious otorrhoea
Granulation tissue in the canal

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10
Q

How is malignant otitis externa managed?

A

Surgical debridement

Systemic Abx

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