Otitis media Flashcards
AOM caused by
bacteria or virus
what is it called if there is AOM with pus
acute suppurative OM. can cause peforation
what is acute otitis media with effusion (OME)
chronic inflammatory condition without acute inflammation
follows slowly resolving AOM
what is the effusion like in OME
glue like behind intact membrane
most common bacterial pathogens
h influenzae
strep pneumoniae
moraxella catarrhalis
strep pyogenes
most common viruses
RSV
rhinovirus
risk factors
smoking in household
formula feeding
down’s
nursery
what may be seen on examination
high tempn red/yellow tympanic membrane bluging of TM air fluid level behind TM discharge secondary to perforation
rx otitis media
paracetamol/ibu
-no abx/delayed abx (unless systemically unwell or >4 days no improvement or perforated with discharge)
if abx required, what?
amox
rx recurrent AOM
refer to ENT
rx OME
if <3, observe
grommets
rx for neuropathic pain 1 2 3 4
1 amitryptilline
2 gabapentin
3 pregabalin
4 duloxetine (SNRI)
