Otitis Externa Flashcards
causes of otitis externa?
bacterial: pseudomonas aeruginosa, staphylococcus species
what is otitis externa?
inflammation of skin of external auditory meatus, can affect tympanic membrane
presentation of otitis externa?
Rapid onset of ear pair, (otalgia) Tenderness Itching Aural fullness Hearing loss Erythema Tragal tenderness
Ix for otitis externa?
otoscopy, tympanometry
what do you see on otoscopy in otitis externa?
overally redness, inflammation, CAN see cone of light
Rx for otitis externa?
topical antibiotics, otic antibiotic drops, steroid drops
specifically ciprofloxacin, dexamethasone drops
what is malignant otitis externa?
infection of external auditory canal and temporal bone
what is the causative organism of malignant otitis media?
pseudomonas aeruginosa
in which group of people is malignant otitis externa common in?
elderly with diabetes, or immunocompromised
Presentation of malignant otitis externa?
severe deep otalgia
temporal headaches
purulent otorrhea
RF for malignant otitis externa?
diabetes
Rx for malignant otitis externa?
ciprofloxacin