otitis media +/- effusion , externa, mastoiditis Flashcards
most common cause otitis media gram negative bacili
h.infleunza
gram psotive cause of otitis media
strep p
child present with otalgia, tugging at left ear and has a URTI 1 ago with a fver , has mild hearing loss in left ear
otitis media
otoscopy looking in ear see bulging tympanic membrane and otorrhea
otitis media
tx of OM
abx normally ifrst line amoxicllin 5-7 days with analgesia
if symtposm over 4 days an not improving
kid under 3m with OM
admit to hsopital
complciations with OM
mastoiditis
facial nerve palsy
presents coupel weeks after OM , ear drum looks abnormal and reduced motility of membrane
conductive hearing loss
is linked to downs what is it
glue ear - secretory OM
tx of glue ear
trimoprim or amxoiciilin
grommets
most commonly caused by staph auerus and rom swimming presentign with ear pain and discharge with a normal tympanic membrane what am i tlaking about
otitis externa
first line OE
topical abx maybe a steriod spray too
2nd- oral fluclox if spreading
gentamix steriod and abx
chronic OE treated with
aural toilet and topical ABX
sever gentamicin depper
deep ear pain , common in diabetics, temproa headaches and mad discharge and macakey agar grows a gram negative rod
malignant OE - pseudomonia aeruginosa
maligant OE first line
CT head and refer to ENT
IV ciprofloxacin
maligant OE first line
CT head and refer to ENT
IV ciprofloxacin
