Ottitis Media Flashcards
1
Q
Common causes? (3)
A
strep pneumonia
H. influenza
RSV
2
Q
Presentation?
A
follow URTI, earache, fever, deafness (often precedes pain), irritability, lethargy.
Inflamed tympanic membrane, loss of light reflex, bulging drum.
3
Q
When should Abx be prescribed immediately?
A
⎫ Symptoms lasting > 4 days or not improving
⎫ Systemically unwell but not requiring admission
⎫ Immunocompromised or high risk of complications secondary to significant heart, lung, kidney, liver, or neuromuscular disease
⎫ < 2 years of age with bilateral otitis media
⎫ Otitis media with perforation and/or discharge in the canal
4
Q
Which first line Abx?
A
Amoxicillin
