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Flashcards in 14- congestion Deck (19):
1

can you give OTC cough and cold products to kids under two?

NO

2

acute otitis media presentation

3-5 days after onset of upper respiratory symptoms.

otalgia (ear pain, tugging at ears).

fever, irritability, cough, anorexia, and, less commonly, vomiting and diarrhea.

bulging TM

3

sinusitis presentation

begin with a viral URI, followed by superinfection of pathogenic bacteria (the same organisms as in OM).
A diagnosis of sinusitis should be considered when symptoms are persistent (>10 days), worsening, or severe (e.g. fever > 39 degrees).

4

what color is TM when child cries

red

5

otitis externa presentaiton

"swimmer's ear," is manifested by an edematous external auditory canal, and pain with traction on the ear lobe.

6

risk factors for otitis media

allergies
smoke
day care
Bottle propping at bedtime
Pacifier use
Drinking formula from a bottle rather than breastfeeding
Significant family history of AOM
Male gender
Lower socioeconomic status
Respiratory allergies

7

two most common pathogens to cause otitis media and third and 4th place

strep pneumo
hemophilus influenza

moraxella
then strep pyogenes

8

first-line therapy for bilateral acute ottis media in kid 6 mo-2 yrs

amoxicillin

9

use antibiotics if bilateral acute otitis media under 2 years old or if over 2 years old if...(rather than wait it out)

Toxic-appearing child, or
Persistent ear pain for 48 hours, or
Fever > 39 C within the past 48 hours

10

middle ear effusion TM exam

amber, non- or poorly mobile, opaque and retracted tympanic membrane

11

children with persistent effusion for >3 mo should have what test

hearing assessment

12

Tympanostomy tube placement indications

children with otitis media with effusion persisting 4 months or longer and accompanied by hearing loss, documented language or other developmental delay, risk of developmental delay, or structural abnormality of the tympanic membrane or middle ear.

13

when is Amoxicillin/clavulanate used in acute otitis media

moderate to severe otalgia or high fever,

additional beta-lactamase coverage for Haemophilus influenzae and Moraxella catarrhalis,

when failure with amoxicillin is suspected.

14

sinuses inflamed in which years

maxillary and ethmoid (largest) in infancy.

sphenoid sinuses - third to fifth year of life,

frontal sinuses are rarely large enough until the sixth to tenth year of life.

15

frontal sinusitis presentation

pain over the frontal bone and perhaps facial swelling in an older child or adolescent.

16

bilateral otitis media with effusion

fluid in the middle ear space without signs and symptoms of acute inflammation (bulging or fullness of the tympanic membrane, fever and/or otalgia).

17

viruses known to be associated with AOM

RSV
influenza
rhinovirus

help bacteria colonize and resist antibiotics

18

Potential Testing Performed by an Audiologist

Tympanogram- mobility of TM

Conventional audiometry- auditory threshold via earphones

Visual reinforcement audiometry- auditory threshold via speakers

Otoacoustic emissions- measure cochlear function in response to stimulus

19

what you should look for in ear exam

COMPT

Color
Other (bubbles, scarring, perforation)
Mobility
Position- bulging, retracting
Translucency