Otitis Media Flashcards

1
Q

What is it?

A

Middle ear inflammation

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2
Q

Age of onset

A

<10 yrs - peaks around 6-18 months

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3
Q

Risk factors

A
Smoking 
URTI
Bottle feeding and dummy use 
Adenoids 
Anatomical malformations
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4
Q

S+S of acute OM

  • 2 main symptoms
  • what may it happen after?
  • other less common symptoms? - 3
A

Sudden pain and fever
Inflamed, bulging ear drum or purulent discharge
Resolution of pain once it has burst

URTI

Irritability
Anorexia
Vomiting

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5
Q

S+S of chronic OM

A

Several months of symptoms

Fluid discharge

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6
Q

Management:

What usually happens?

In what situation would amoxicillin be given for 5 days?

A

Usually self resolves within 3 days

Perforation
>4 days of symptoms
Bilateral OM in < 2 yrs old

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7
Q

Complications:

  • Common in children
  • Something chronic
  • Where could the infection spread to and cause?
  • What could happen to their face?
  • One more?
A

Glue ear
Chronic suppurative otitis media - foul discharge, hearing loss and drum perforation

Mastoiditis
Petrositis
Labyrinthitis
Meningitis

Facial palsy

Abscess

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