Ears, Nose And Oropharynx

Question 1

How do you treat otitis media

Answer 1

First line: amoxicillin
Second line (worsening symptoms despite 2- 3 days treatment): co-amoxiclav
Penicillin allergy : calrithromycin (erythromycin in pregnancy)

Question 2

What is the treatment of otitis externa:

Answer 2

First line: topical acetic acid 2%
Second line: topical neomycin sulphate with corticosteroid
If systemic treatment needed: flucloxacillin

Question 3

How do you treat nasal rhinitis

Answer 3

Usually treated with nasal sprays or drops
Sodium chloride, antihistamines (pirinase) , corticosteroids, ipratropium, xylometazoline

Not to be used for prolonged period of time (7 days) because can get rebound congestion: nose is dependent on the treatment
Can be used in pregnancy- low systemic absorption

Question 4

How do you treat nasal polyps

Answer 4

Need to review with ENT specialists
Use nasal corticosteroids

Question 5

How do you treat nasal staphylococci

Answer 5

Naseptin (contains peanuts)
or mupirocin