Otitis Media

Question 1

What is otitis media?

Answer 1

Dysfunction of the Eustachian tube which is found in the middle ear

Question 2

What are the clinical features of otitis media?

Answer 2

1. Fever
2. Pain
3. Vomiting
4. Often after upper respiratory tract infection
5. Anorexia
6. Irritability

Question 3

What are the types of otitis media?

Answer 3

1. Acute otitis media
2. Suppurative otitis media
3. Otitis media with effusion

Question 4

What is the management of otitis media?

Answer 4

1. Observe for 20-24 hrs
2. Offer analgesia
3. Amoxicillin if symptoms do not improve

Question 5

What are the intracranial complications of otitis media?

Answer 5

1. Intracranial absecess
2. Meningitis
3. Sigmoid sinus thrombosis

Question 6

What are the extracranial complications of otitis media?

Answer 6

1. Mastoiditis
2. Labrynthitis
3. Petrositis
4. Facial nerve palsy

Question 7

What antibiotic would you administer in a patient with otitis media if amoxicillin does not improve their symptoms?

Answer 7

Amoxicillin/clavulanate