Segundo bloque: acute otitis media Flashcards
Which are the 3 bones of the middle ear?
Malleus, incus and stapes
What is the acute otitis media?
Infection of the middle ear
What the main consecuence of the eustachian tube?
Pressure imbalance
Which Px are more likely to suffer from acute otitis media?
Kids
When is pain considered as acute?
When it lasts more than 48 hours
Which are the most comon patogens that cause AOM?
Streptococcus pneumoniae and haemophiluz influenza
Which are the 3 more visible sings of AOM?
Otalgia, fever and the Px is grabbing their ear
At the otoscopy, how the tympanic membrane looks in the AOM?
Bulging erythematus tympanic membrane with loss of light reflection
What is the first complication in AOM?
Perforation of tympanic membrane
What is the second complication in AOM?
Meningitis
What is the third complication in AOM?
Brain absess
What is the first line Tx for AOM?
Amoxicilin/Clavulanate
What is the second line Tx for AOM?
Doxycyline, levofloxacine and moxifloxacine
When is the second line Tx for AOM used?
When the Px is PCN allergic
What is the first cause of the rupture of tympanic membrane?
Trauma
What is the second cause of the rupture of tympanic membrane?
Strange body
What is the third cause of the rupture of tympanic membrane?
Barotrauma
What is the fourth cause of the rupture of tympanic membrane?
Infection
What CN is releated and affected in the rupture of tympanic membrane?
CN VII
Which are the 3 main Tx in tympanic membrane rupture?
Keep the ear dry, antibiotics if necessary and timpanoplasty if necessary
When is timpanoplasty used as a Tx of tympanic membrane rupture?
When there’s more than 1/4 of the tympanic membrane ruptured
