peds head and neck Flashcards
etiology of acute tonsilitis
Group A, G strep
absolute indications for a tonsillectomy
- OSA
- suspect malignancy
- hemorrhagic tonsillitis
- severe dysphagia
relative indications for tonsillectomy
- hypertrophy
- recurrent - 6-7x /year
- abscess
risks of tonsillectomy
- post op hemorrhage
- infection
- airway obstruction
indications for removal of adenooids
- chronic
- OSA
- Otitis media with effusion
most common organisms causing acute otitis media
S. pneumo - 35%
H flu
M catarr
how long does the effusion last in AOM
up to 12 weeks
treating AOM - first thing
- observe 2-3 days no Abx
if child is > 6 mo of age
how does the ear look in otitis media with effusion?
no infection, conductive HL
- amber
- meniscus
- clear annulus
- retraction
what is not effective in treating OME
antibiotics!!!!
- use tubes
indications for myringotomy and tubes
- recurrent AOM
- bilateral effusions
- effusion for more than 3 months
- bilateral conductive hearing loss
inspiratory stridor
biphasic
expiratory
glottis and above
glottis or subglottis
intrathoracic
70% of stridor in the newborn is due to
laryngomalacia
subglottic hemagioma presents as
bi phasic stridor - look for cutaneous hemangioma
main treatment of subglottic hemagiomas
propanolol
