Otitis media

Question 1

• Treat pain and fever with […] or […]
• […] antibiotic prescribing –> start taking antibiotics if symptoms don’t improve within […] days
• Offer immediate antibiotic prescription to children who are […] […] (but don’t require admission) or those at high risk of complications (e.g. […] patients)

Answer 1

• Treat pain and fever with paracetamol or ibuprofen
• Delayed antibiotic prescribing –> start taking antibiotics if symptoms don’t improve within four days
• Offer immediate antibiotic prescription to children who are systemically unwell (but don’t require admission) or those at high risk of complications (e.g. immunocompromised patients)

Question 2

Abx of choice

Answer 2

5-7 day course of amoxicillin is first-line.

Question 3

Complication

Answer 3

Cholesteatoma

Question 4

Cholesteatoma
Abnormal accumulation of […], […] epithelium within the middle ear cleft and […] air cells.
Usually younger patients 5-15yo

Answer 4

Abnormal accumulation of skin, squamous epithelium within the middle eat cleft and mastoid air cells.
Usually younger patients 5-15yo

Question 5

[…] smelling discharge, […] and otalgia.

Answer 5

foul smelling discharge, headache and otalgia.