Ear, Nose, Throat OME Flashcards Preview

Pediatrics Board Review > Ear, Nose, Throat OME > Flashcards

Flashcards in Ear, Nose, Throat OME Deck (14):
1

otitis media bugs

strep pneumo
h. flu
moraxella catarrhalis

2

diagnosis of otitis media

pneumatic insufflation
-rigid = positive

3

tx of otitis media

amoxicillin
-fails - amoxiclav

4

otitis externa

swimmers ear
-pseudomonas

or staph aureus - digital trauma

PAIN with pulling of pinna

5

tx of otitis externa

can give abx drops

6

bacterial sinusitis

strep pneumo, h flu, moraxella

congestion, purulent discharge, painful facial tap

7

tx of sinusitis

longer than 7 days with cough - amoxicillin

only 5 days no cough - likely viral

8

cold

viral nasal syndrome - usually rhinovirus

short duration and no cough

tx - stick it out

9

pharyngitis longer than 10 days

likely bacterial

10

risk if don't tx group A strep

strep pyogenes

rheumatic fever or post strep GN

11

centor criteria

2-3 = rapid strep-cx / 4-5 = abx

1+ absent cough
1+ exudates on tonsils
1+ cervical lymphadenopathy
1+ temp over 100.4F

modified - less than 15yo +1 / more than 44yo -1

12

choanal atresia

really big tonsils
-disconnect between nasal passages and oropharynx
-snoring child

cyanotic - pinks up when cries

13

diagnosis of choanal atresia

pass catheter

14

tx of choanal atresia

surgical resection