Otitis Media

Question 1

male px 6 m.o. evolution of 2 days Oltalgia, FEVER, feel irritated, fussiness, and insomnio. Hearing loss

at exploration U find hyperemic TM whats the dx?
what type of HL is comun on this situation.

its first time taking antibiotics

tx

Answer 1

Otitis Media (AOM)

Type B . Conductive (Está tapado el conducto donde están los huesecillos)

Amoxicilina (si tiene mucha fiebre tambien se da Ác. Clav)

Question 2

Es la complicacion más comun intratemporal de una AOM

• Fever + Erytema
  what can U find at CT Scan?
  Whats the Qx Surgery you must do if there is Erosion of Bone?

How it looks when it looks Pustulation, otorrea + perforation + facial paralisis maberinitis + meningitis or HL ? (Its a descamative debrid of ear)

Answer 2

MASTOIDITIS
Bony destruction

Mastoydectomy- Timpanostomy

Chronic Mastoiditis can produce Cholesteatoma.

Question 3

Ver CT -sacan
es un tipo de complicación extratemporal de una Otitis Media, se caracteriza por un absceso desde la mastoides hasta el Esternocleidomastoideo.
“Parece un craneo indio”
#Es un absceso del cuello por Mastoiditis.

Answer 3

Bezold Abscess

Question 4

Ver CT-Sacan
Es un tipo de complicación extratemporal de Otitis Media, se caracteriza por un absceso desde la Mastoides y discurre por el musculo digástrico del cuello en su porción posterior. pasando hasta áreas cervicales.

Answer 4

Citelli Abscess

Question 5

Male px histoy of Otitis media supurative present Periocular pain, desviation of 1 eye (Abducens atrophy) (0)–L–(°)
whats the dx Complications name & sx name?

Answer 5

Petrous Apicitis
Gradenigo Sx

Question 6

Male px reccurent AOM + Vertigo dizyness + nauseas & vomiting
dx?

Answer 6

Laberintitis

Question 7

whats the tx of a OME (Supurativa/Serosa o Secretora).

whats the Qx Surgery on a chronic OME?

Answer 7

Steroids + Antihistamis

Qx: Tmpanotomy Tubes (Ventilation y drena el oido medio)

Question 8

Is a surgery tecnic used on a Complication with AOM dx…
its to take “Byopsia of what kinda of complication is going on”

Answer 8

Timpanocentesis.

Question 9

Tx use by AOM/OME when is recurrent

Answer 9

ADENOIDECTOMY

Question 10

is a complication of OME

what type of HL would be appere at Audiometry?

Answer 10

HL- Speech Diley
Atelectasea.
Type C