Otitis Media Flashcards

1
Q

Gender with greatest incidence of OM?

A

Males

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2
Q

Seasons for OM?

A

Winter and early spring

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3
Q

Populations with highest rates of OM?

A

Alaskan, American, Indigenous Australians

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4
Q

Top three bugs of OM

A
  • H. influenzae (non-typable)
  • Strep pneumoniae
  • Moraxella caterhallis
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5
Q

What typically precedes OM?

A

URI

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6
Q

Term for pus from ears?

A

Ottorhea

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7
Q

What OM causing bug typically also causes conjunctivitis?

A

H. Influenzae

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8
Q

OM that has fever, what should you suspect first?

A

Pneumococcal infection

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9
Q

What bug should you suspect if PT has bilateral OM?

A

H. influenzae

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10
Q

If PT has mastoiditis or membrane perforation, what should you suspect?

A

Group A strep

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11
Q

What is tympanometry

A

Test the middle ear by changing air pressures

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12
Q

Criteria for AOM?

A
  • Acute history (URI)
  • Bulging TM (effusion)
  • Signs and symptoms (fever)
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13
Q

Main treatment for AOM?

A
Amoxicillin → Augmentin
• Cephalosporins
• Macrolides
• E-micin
• Bactrim
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14
Q

Main treatment for AOM?

A
Amoxicillin → Augmentin
• Cephalosporins
• Macrolides
• E-micin
• Bactrim
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15
Q

What do you use for AOM prophylaxis?

A

Half dose of amoxicillin or sulfisoxasole

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16
Q

Criteria for tympanostomy tube?

A

More than three infections per year and onset at a young age

17
Q

How long can effusion last after OM?

A

Months, sometimes up to 3 months (10%). If over 4-6 months surgery might be considered

18
Q

What is the main cause of OM?

A

Viral infection

19
Q

What is a cholesteatoma?

A

Cholesteatoma is a type of skin cyst located in the middle ear and skull bone (mastoid).

20
Q

Things that can help prevent OM?

A
  • Staying away from smoking
  • Breastfeeding
  • Vaccines
  • Being around fewer children
21
Q

What food additive can help prevent OM?

A

Xylitol because it decreases a certain bug in the mouth?