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ENT > Otitis Media > Flashcards

Otitis Media Flashcards

1
Q

What is the definition of Acute otitis Media?

A

Acute Inf dsease of mid ear and tymp mem. +/- Purulent middle ear fluid

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2
Q

What is the definition of Otitis media with Effusion?

A

Middle ear effusion w/out local/systemic signs of inflammation

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3
Q

What are features of AOM?

A 
Rapid onset
Bulging or Fullness of TM
Redness 
Perforation w/ drainage
Pain, Irritable, fever
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4
Q

What are the risk factors of Otitis MEdia?

A 
Age, Race (NA and Eskimo)
Allergy, Immunocompetence
Craniofacial DO
DS craniosynostosis
Cleft Palate
Genetics
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5
Q

What are the environmental risk factors for Otitis media?

A

Seasons, Daycare, Tobacco smoke, Breast feeding better than bottle

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6
Q

WHat is the pathophysiology of otitis media w/ effusion?

A

Preceding viral illness
Immature immune stat
Eustatian tube dysfunct

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7
Q

What are the most common bacteria of Otitis media?

A

Strep Pneumo
Haemophilus Influenza
Moraxella Catarrhalis

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8
Q

Is Allergy associated with AOM or OME?

A

OME

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9
Q

What GI diseases are associated w/ AOM?

A

Gastroesophageal Reflux

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10
Q

What immunizations are given for Otitis Media?

A

Conjugated - 13 valent

Polysaccharide 23- not under 2yo

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11
Q

What are the Absolute contraindications to Observation of AOM?

A

Age

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12
Q

What are the Relative contraindications to Observation of AOM?

A

Relapse in last 30 days
Otorhea
Bilateral OM and

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13
Q

What is the Abtx for AOM?

A

Amox 90mg/kg
Amox/Clav for severe
Cephalo in penicillin allergy
Macrolides w/ penicillin and ceph allergy

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14
Q

What is considered Tx failure?

A

Recurrence w/in 30 days

Can’t use 1st line anymore

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15
Q

What are the complications of Chronic Otitis media?

A 
TM perforation
Chronic Otorrhea
Chronic Otomastoiditis
Cholesteatoma
Hearing loss
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16
Q

What is a Cholesteatoma?

A

Change in tissue type of TM that degrades like a cancer

Chronic drainage of the ear over a long period. Smells bad

17
Q

What are the Intratemporal/ extracranial complications of AOM?

A

Mastoiditis
Petrositis
Labrinthitis
Facial n Paralysis

18
Q

What are the signs that otitis media is no longer simply a difficult ear infection?

A 
>1 of: persistent mild pain >1wk 
Foul smelling persistent otorrhea
Retroorbital pain
Facial n Paralysis
Vertigo
19
Q

What type of bacteria are associated with Mastoiditis with abcess?

A

Anaerobic Bacteria

20
Q

What bacteria are most commonly associated with Cholesteatoma?

A

Pseudomonas and Bacteroides

21
Q

What complication is associated with Otitis media caused by Strep Pneumo?

A

Meningitis

ENT (12 decks)

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