Pediatrics Flash Cards - Case 14 - 18mo Nasal congestion

Question 1

mnemonic for things to look for in an ear exam

Answer 1

COMPT: C = Color (gray, white, amber, blue, red or yellow); O = Other (bubbles, air-fluid interface, scarring, or perforation); M = Mobility (absent, reduced, normal, or hypermobile); P = Position (normal, retracted, or bulging); T = Translucency (opaque or translucent)

Question 2

Bacterial causes of AOM in descending order of commonness?

Answer 2

S pneumo (25-50%, falling w/ PCV7) -> H flu, nontypeable (15-52%) -> Moraxella catarrhalis (3-20%) -> Strep pyogenes < 5%

Question 3

Amoxicillin dosing for AOM?

Answer 3

80-90 mg/kg/day

Question 4

Reasons to tx AOM w/ abx now in baby < 2 y/o?

Answer 4

Toxic-appearing, or Persistent ear pain for 48 hrs, or >39 C in past 48 hrs