Acute otitis media

Question 1

Why do infants get otitis media

Answer 1

Eustachian tube is short, horizontal and function poorly

Question 2

What are the clinical feature of otitis media

Answer 2

Ear pain
fever

-every child with fever must have tympanic membranes examined

Question 3

What pathogens cause Otitis media

Answer 3

Viral: RSV, rhinovirus
Bacteria: Pneumococcus, H influenzae

Question 4

what are the complications of Acute otitis media?

Answer 4

Mastoiditis

Meningitis

Question 5

What is the treatment for acute otitis media?

Answer 5

Amoxicillin

Regular analgesia

Question 6

How do children with otitis media w/ effusion present?

Answer 6

After recurrent ear infections
Asymptomatic - possible hearing loss
Ear drum seen to be dull and retracted

Usually spontaneously resolves
Most common cause of conductive hearing loss in children
Can intefere with speech and language development