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PHM704 > Pediatric AOM > Flashcards

Pediatric AOM Flashcards

1
Q

AOM - Uncomplicated

A

without otorrhea

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2
Q

AOM - Non-Severe

A

presence of mild otalgia AND temp < 39 C

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3
Q

AOM - Severe

A

presence of moderate-to-severe otalgia OR fever 39 C or greater

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4
Q

AOM - Recurrent

A

3 or more documented and separate occasions of AOM in the preceding 6 months
OR
4 or more episodes in the preceding 12 months with at least 1 episode in the last 6 months

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5
Q

AOM - Viral Causes

A

RSV
coronaviruses
influenza viruses
adenoviruses
picornaviruses

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6
Q

AOM - Bacterial Causes

A

S. pneumoniae
H. influenzae
M. catarrhalis

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7
Q

AOM - Risk Factors

A

genetic predisposition
family history of recurrent AOM
allergies
lack of breastfeeding
low socioeconomic status
passive smoke exposure
daycare attendance
pacifier use
winter season

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8
Q

AOM - Signs & Symptoms

A

otalgia
irritability
headache
disturbed sleep
poor feeding
vomiting / diarrhea
fever

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9
Q

AOM - Physical Exam

A

erythematous tympanic membrane
fluid in the middle ear

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10
Q

AOM - Diagnostic Criteria

A

moderate-to-severe bulging of the tympanic membrane
OR
new onset of otorrhea not caused by otitis externa
OR
mild tympanic membrane bulging with recent onset of otalgia or erythema

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11
Q

AOM - Antibiotic Therapy Indications

A

6 months to 2 years: otorrhea with AOM, unilateral or bilateral AOM with severe symptoms, bilateral AOM without otorrhea

2 years or older: otorrhea with AOM, unilateral or bilateral AOM with severe symptoms

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12
Q

AOM - Watchful Waiting

A

6 months to 2 years: unilateral AOM without otorrhea

2 years or older: bilateral or unilateral AOM without otorrhea

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13
Q

AOM - First-Line Treatment (Initial)

A

amoxicillin 80-90 mg/kg/day, divided
OR
amoxicillin-clavulanate 90 mg/kg/day, divided

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14
Q

AOM - First-Line Treatment w/ PCN Allergy

A

cefdinir 14 mg/kg/day
OR
cefuroxime 30 mg/kg/day, divided
OR
cefpodoxime 10 mg/kg, divided
OR
ceftriaxone 50 mg IM

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15
Q

AOM - Treatment After 48-72 hr of Failure of Initial Treatment

A

amoxicillin-clavulanate 90 mg/kg/day, divided
OR
ceftriaxone 50 mg IM for 3 days

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16
Q

AOM - Alternative Treatment After 48-72 hr of Failure of Initial Treatment

A

ceftriaxone 50 mg IM for 3 days
OR
clindamycin 30-40 mg/kg/day, divided in 3 doses

17
Q

AOM - Treatment Duration

A

patients 2 years and under: 10 days
patients older than 2 years: 5-7 days

18
Q

AOM - Pain Management

A

acetaminophen 10-15 mg/kg/dose
ibuprofen 5-10 mg/kg/dose (only 6 months or older)

19
Q

AOM - Surgical Treatment for Recurrent AOM

A

tympanostomy tubes

PHM704 (16 decks)

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