Treatments of Ear

Question 1

vertigo

Answer 1

antiemetics

antihistamines/anticholinergics
dopamine blockers
benzodiazepines
serotonin antagonists

Question 2

auditory tube dysfunction

Answer 2

systemic & intranasal products: pseudoephedrine & oxymetazoline

avoid air travel, rapid alt change & under water diving

Question 3

serous otitis media

Answer 3

short course of prednisone
oral antibiotics: amoxcicillin

medication fails
myringotomy

Question 4

vestibular neuronitis

Answer 4

glucocorticoids fist lien

supportive DIAZEPAM, vestibular therapy

Question 5

BPPV

Answer 5

PT protocols

epley maneuver

Question 6

Endolymphatic Hydrops (Meniere Syndrome)

Answer 6

low salt diet
acetazolamide
refractive: intratympanic corticosteroid injections

Question 7

external otitis

Answer 7

swimmer’s ear: acidification
-50/50 mixture ir isopropyl alcohol and vinegar

infection:
acidic otic antibiotic drops: aminoglycoside (neomycin, polymyxin b) or fluoroquinolone with or without corticosteroids

Question 8

malignant otitis externa

Answer 8

prolonged antipseudomonal antibiotic

IV cipro often required

Question 9

mastoiditis

Answer 9

IV antibiotics directed against most common offending agents

cefazolin

Question 10

labyrinthitis

Answer 10

abx w fever
vestibular suppressants (valium, mclizine)
glucocorticoids

Question 11

tinnitus

Answer 11

avoidance of excessive noise, ototoxic agents,

oral antidepressants; nortriptyline

Question 12

acute otitis media

Answer 12

amoxicillin or erythromycin plus sulfonamide

Question 13

chronic otitis media

Answer 13

removal of infected debris
earplugs
topical antibiotic drops (ofloxcacin or cipro with dexamethasone)