otitis media +/- effusion , externa, mastoiditis Flashcards
most common cause otitis media gram negative bacili
h.infleunza
gram psotive cause of otitis media
strep p
child present with otalgia, tugging at left ear and has a URTI 1 ago with a fver , has mild hearing loss in left ear
otitis media
otoscopy looking in ear see bulging tympanic membrane and otorrhea
otitis media
tx of OM
abx normally ifrst line amoxicllin 5-7 days with analgesia
if symtposm over 4 days an not improving
kid under 3m with OM
admit to hsopital
complciations with OM
mastoiditis
facial nerve palsy
presents coupel weeks after OM , ear drum looks abnormal and reduced motility of membrane
conductive hearing loss
is linked to downs what is it
glue ear - secretory OM
tx of glue ear
trimoprim or amxoiciilin
grommets
most commonly caused by staph auerus and rom swimming presentign with ear pain and discharge with a normal tympanic membrane what am i tlaking about
otitis externa
first line OE
topical abx maybe a steriod spray too
2nd- oral fluclox if spreading
gentamix steriod and abx
chronic OE treated with
aural toilet and topical ABX
sever gentamicin depper
deep ear pain , common in diabetics, temproa headaches and mad discharge and macakey agar grows a gram negative rod
malignant OE - pseudomonia aeruginosa
maligant OE first line
CT head and refer to ENT
IV ciprofloxacin
maligant OE first line
CT head and refer to ENT
IV ciprofloxacin
what is swinging pyrexia and when is it seen
Intermittent fever is a type or pattern of fever in which there is an interval where temperature is elevated for several hours followed by an interval when temperature drops back to normal.
sigmoid sinus thrombosis along with meningits and sepsis
1st line OM tx
amoxicillin
2nd line OM tx
Co-amoxiclav is used as a second line agent if amoxicillin doesn’t work, but wouldn’t be used first line according to current guidelines.
