URI Viro exam 2

Question 1

Findings for a AOM:
Acute onset of signs and symtoms of AOM:

Answer 1

AOM signs and symptoms:
-Otorrhea –> Ear discharge
-Otalgia (ear pain)
Fever
-irritability

Presence of Middle eaar effusion:
-A tympanic membrane with: bulging, limited/absent mobility, air fluid level behind it, possible otorrhea

Signs of middle ear inflammation: otalgia or erythema (redness of the tympanic membrane)

Question 2

Risk factors of AOM:

Answer 2

-<age 2
-Male
-Daycare attendence
-Non ventilated bottles
-Exposure to ciggs
-Genetics
-Premature birth

Question 3

Preventatives of AOM

Answer 3

Brestfeeding
No exposure to ciggs, allergens and viruses
-Get flu vaccine and pneumococcal vacccine

Question 4

What bacterias can cause AOM?

Answer 4

Gram + –> S.pneumonia
Gram - –> H.influenzae, Moxella catarrhs

Question 5

6months old or <2yrs old with AOM with otorrhea what should we do?

Answer 5

Give antibiotics

Question 6

6months old or <2yrs old with AOM with severe symptoms what should we do?

Answer 6

give antibiotics

Question 7

6months old or <2yrs old with AOM with mild symptoms and no otorrhea what should we do?

Answer 7

follow up in 48-72 hrs
But if cannot follow up –> give antibiotics

Question 8

Children >2yrs old with AOM + otorrhea what should we do?

Answer 8

Give antibiotics

Question 9

Children >2yrs old with AOM + severe symtpms what should we do?

Answer 9

Give antibiotics

Question 10

Children >2yrs old with AOM without otorrhea but with mild symptoms what should we do?

Answer 10

Follow up in 48-72 hrs
give antibiotics if severe symptoms