Otorrhoea Flashcards
Describe what AOM looks like on otoscopy
Red bulging TM
Purulent material seen behind
How do you manage AOM?
Analgesia
Antibiotic ear drops
What is glue ear?
Otitis media with effusion
What can you see on examination of OME?
Dull/opaque TM
Fluid levels/bubbles behind TM
How is OME treated?
Most recover on their own
Myringotomy and grommets
Hearing aids
Acute otitis externa can develop into…
Necrotising otitis externa -
Osteomyelitis
What is an active perforated TM?
Infection is present (purulent discharge)
How would you detect previous TM perforation?
Calcium deposits - tympanosclerosis
What is chronic otitis media?
Otorrhoea for over 6 weeks
What are the 2 types of COM?
Squamous and mucosal
What is squamous COM?
TM retraction and cholesteatoma
What is mucosal COM?
Perforation of the TM leading to chronic infection of the middle ear
In which condition do you get accumulation of keratin and a retraction of the TM?
Cholesteatoma
How is a cholesteatoma treated?
Referral to ENT
Mastoidectomy
What features are associated with cholesteatoma?
Foul smelling discharge
Hearing loss
Vertigo
Facial nerve palsy
