Otitis Media

Question 1

What is otitis media?

Answer 1

Infection of the middle ear

Question 2

What is otitis media with effusion?

Answer 2

Infection with collection of fluid in the middle ear

Question 3

RF for otitis media (h: EARS) (7)

Answer 3

Eustachian tube dysfunction (Down's syndrome, cleft palate), 
Adenoids (enlarged),
Respiratory infections, 
Smoking,
Seasons (winter),
School

Question 4

Symptoms of otitis media with effusion? (7)

Answer 4

Pain, 
Hearing loss, 
Speech delay, 
Behavioural problems, 
Academic decline, 
Fever, 
Discharge

Question 5

Signs of otitis media with effusion? (4)

Answer 5

Redness,
Dull tympanic membrane,
Fluid levels,
Bubbles

Question 6

Most common causative agents of otitis media? (3)

Answer 6

Haemophillus influenzae,
Strep pneumonia,
Moraxella catarrhalis

Question 7

Investigations for otitis media? (2)

Answer 7

Audiograms,

Impedance audiometry

Question 8

Treatment for otitis media? (4)

Answer 8

Self-limiting,
grommets,
adenoidectomy,
myringotomy