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8 Cards in this Set
- Front
- Back
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Otitis Externa |
Caused by Staph aureus/pseudomonas
S/S: pustules and furuncles severe pain with cellulitis itching scaling erythema possible exudates crusting fissuring
Management: clean and deride ear topical otic gtts: cortisporin pain control: NSAIDs, topical corticosteroid |
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Acute OM |
Most common viral cause is URI
Most common bacterial causes: strep pneumoniae h. influenza moraxella catarrhalis
S/S: Otalgia (slight to severe) that spreads to temple Otorrhea vertigo nystagmus tinnitus fever n/v local inflammation: diminished light reflex/fluid in middle ear exudative phase: middle ear suppurative phase: purulent exudate
NOTE: erythema alone is NOT diagnostic criteria
Management: most will resolve spontaneously with oral decongestants and humidifiers
Bacterial: Amoxicillin |
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Cholesteatoma |
Chronic OM keratinized epithelium If untreated may erode the ear
S/S painless otorrhea canal filled with mucous and granulated tissue squamous epithelium lined sac filled with keratin
Refer for surgery |
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Vertigo |
sensation of motion either of the person or the environment
Benign paroxysmal positional vertigo is most common (BPPV)…..sensation of motion initiated by sudden head movements |
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Common Causes of Vertigo |
brain tumors medications OM Labyrinthitis Meniere's disease acoustic neuroma head trauma neck injury migraines cerebellar hemorrhage |
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S/S Vertigo |
sensation of disorientation or motion n/v sweating abnormal eye movement (nystagmus) hearing loss tinninits weakness difficulty walking decreased LOC |
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Lab/Diagnostics for Vertigo |
CT scan VDRL/RPR Serum med levels hearing exam blood glucose and ECG |
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Management of Vertigo |
Diazepam (Valium) Meclizine hydrochloride (Antivert) Diphenhydramine (Benadryl) Scopolamine patch Antiemetics |
