Otitis Media Flashcards
What is the definition of Acute otitis Media?
Acute Inf dsease of mid ear and tymp mem. +/- Purulent middle ear fluid
What is the definition of Otitis media with Effusion?
Middle ear effusion w/out local/systemic signs of inflammation
What are features of AOM?
Rapid onset Bulging or Fullness of TM Redness Perforation w/ drainage Pain, Irritable, fever
What are the risk factors of Otitis MEdia?
Age, Race (NA and Eskimo) Allergy, Immunocompetence Craniofacial DO DS craniosynostosis Cleft Palate Genetics
What are the environmental risk factors for Otitis media?
Seasons, Daycare, Tobacco smoke, Breast feeding better than bottle
WHat is the pathophysiology of otitis media w/ effusion?
Preceding viral illness
Immature immune stat
Eustatian tube dysfunct
What are the most common bacteria of Otitis media?
Strep Pneumo
Haemophilus Influenza
Moraxella Catarrhalis
Is Allergy associated with AOM or OME?
OME
What GI diseases are associated w/ AOM?
Gastroesophageal Reflux
What immunizations are given for Otitis Media?
Conjugated - 13 valent
Polysaccharide 23- not under 2yo
What are the Absolute contraindications to Observation of AOM?
Age
What are the Relative contraindications to Observation of AOM?
Relapse in last 30 days
Otorhea
Bilateral OM and
What is the Abtx for AOM?
Amox 90mg/kg
Amox/Clav for severe
Cephalo in penicillin allergy
Macrolides w/ penicillin and ceph allergy
What is considered Tx failure?
Recurrence w/in 30 days
Can’t use 1st line anymore
What are the complications of Chronic Otitis media?
TM perforation Chronic Otorrhea Chronic Otomastoiditis Cholesteatoma Hearing loss
What is a Cholesteatoma?
Change in tissue type of TM that degrades like a cancer
Chronic drainage of the ear over a long period. Smells bad
What are the Intratemporal/ extracranial complications of AOM?
Mastoiditis
Petrositis
Labrinthitis
Facial n Paralysis
What are the signs that otitis media is no longer simply a difficult ear infection?
>1 of: persistent mild pain >1wk Foul smelling persistent otorrhea Retroorbital pain Facial n Paralysis Vertigo
What type of bacteria are associated with Mastoiditis with abcess?
Anaerobic Bacteria
What bacteria are most commonly associated with Cholesteatoma?
Pseudomonas and Bacteroides
What complication is associated with Otitis media caused by Strep Pneumo?
Meningitis
