Segundo bloque: acute otitis media Flashcards

1
Q

Which are the 3 bones of the middle ear?

A

Malleus, incus and stapes

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2
Q

What is the acute otitis media?

A

Infection of the middle ear

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3
Q

What the main consecuence of the eustachian tube?

A

Pressure imbalance

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4
Q

Which Px are more likely to suffer from acute otitis media?

A

Kids

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5
Q

When is pain considered as acute?

A

When it lasts more than 48 hours

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6
Q

Which are the most comon patogens that cause AOM?

A

Streptococcus pneumoniae and haemophiluz influenza

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7
Q

Which are the 3 more visible sings of AOM?

A

Otalgia, fever and the Px is grabbing their ear

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8
Q

At the otoscopy, how the tympanic membrane looks in the AOM?

A

Bulging erythematus tympanic membrane with loss of light reflection

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9
Q

What is the first complication in AOM?

A

Perforation of tympanic membrane

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10
Q

What is the second complication in AOM?

A

Meningitis

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11
Q

What is the third complication in AOM?

A

Brain absess

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12
Q

What is the first line Tx for AOM?

A

Amoxicilin/Clavulanate

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13
Q

What is the second line Tx for AOM?

A

Doxycyline, levofloxacine and moxifloxacine

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14
Q

When is the second line Tx for AOM used?

A

When the Px is PCN allergic

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15
Q

What is the first cause of the rupture of tympanic membrane?

A

Trauma

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16
Q

What is the second cause of the rupture of tympanic membrane?

A

Strange body

17
Q

What is the third cause of the rupture of tympanic membrane?

A

Barotrauma

18
Q

What is the fourth cause of the rupture of tympanic membrane?

A

Infection

19
Q

What CN is releated and affected in the rupture of tympanic membrane?

A

CN VII

20
Q

Which are the 3 main Tx in tympanic membrane rupture?

A

Keep the ear dry, antibiotics if necessary and timpanoplasty if necessary

21
Q

When is timpanoplasty used as a Tx of tympanic membrane rupture?

A

When there’s more than 1/4 of the tympanic membrane ruptured