otitis media

Question 1

bacteria responsible for otitis media

Answer 1

strep pneumo
haemophilus influenzae
moraxella catarrhalis

Question 2

presentation of otitis media

Answer 2

otalgia
fever
hearing loss
recent viral URTI
discharge

Question 3

findings on otoscopy in otitis media

Answer 3

bulging tympanic membrane
opacification or erythema of the TM
perforation with purulent otorrhoea

Question 4

management of otitis media

Answer 4

analgesia
antibiotic given if lasts more than 4 days: amox first line

Question 5

when to give abx in otitis media

Answer 5

Antibiotics should be prescribed immediately if:
Symptoms lasting more than 4 days or not improving
Systemically unwell but not requiring admission
Immunocompromise or high risk of complications secondary to significant heart, lung, kidney, liver, or neuromuscular disease
Younger than 2 years with bilateral otitis media
Otitis media with perforation and/or discharge in the canal