Otitis media

  1. What are the top 3 known microbes that cause AOM?
    • 1) Strep pneumoniae
    • 2) Haemophilus influenzae
    • 3) Moraxella catarralis
  2. AOM is also known as
    supparative OM.
  3. Otitis media w/ effusion (OME) is also known as
    non-suppurative OM.
  4. AOM usually follows what?
    OME, which is caused by URI, and/or maybe allergies
  5. Point to the helix, antihelix, lobule, tragus, antitragus

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  6. Point to the pars flaccida, pars tensa, handle(manubrium) of the malleus, the 4 quadrants.
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  7. What's the 1st line therapy for AOM? 2nd?
    • 1st : Amoxicillin, Macrolides for allergic
    • 2nd: 1st generation Cephalosporin/Augmentin
  8. What's the main differential for AOM?
  9. What should you suspect with persistent unilateral serous otitis?
    nasopharyngeal carcinoma.
  10. What are the 2 greatist risk factors for AOM?
    Age <2 and attending day care.
  11. What's the ideal tx for a pt. w/fluid in the middle ear, but not pus, and S&S of ear pain, erythema of the tympanic membrane, and fever, and accompanying symptoms of URI
    should be pain control for 2 to 3 days w/ analgesics.
  12. What tool is the most useful for diagnosis of AOM?
    Pneumatic otoscope.
  13. What else could cause injection of the TM?
    Crying in infants and fever.
  14. What's the tx for AOM based on age?
    • *< 6 months = receive antibiotics.
    • *6 mo-2 yrs =antibiotics if the diagnosis is
    • certain. If uncertain, observe.
    • *> 2 years and older = receive antibiotics if the diagnosis is certain and if the illness is severe. Observe when diagnosis is uncertain or when it is certain and nonsevere. Observe 48-72-hrs w/ symptomatic tx w/
    • analgesics only.
  15. What about decongestants/ antihistamines?
    Steroids, decongestants, and antihistamines are not effective in the treatment of AOM, and may instead cause complications.
Card Set
Otitis media