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11 Cards in this Set
- Front
- Back
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What are the three diagnostic criteria for acute otitis media?
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Signs and symptoms of acute onset, middle ear effusion, and presence of middle ear effusion
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How do you identify a middle ear effusion?
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bulging TM, limited or absent mobility of the TM, air- fluid level behind the TM, otorrhea
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What are the three parts of the ear and what does each do?
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1.) External ear: receives sound waves
2.) Middle ear: sound waves are transmitted from air to fluid in the internal ear by small bones 3.) Internal ear: auditory organ in which fluid movements transduce to nerve impulses that travel to the CNS via the acoustic nerve; vestibular organ that helps body maintain equlibrium |
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What are signs and symptoms of middle ear inflammation?
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1.) Distinct erythema of the TM
2.) Distinct otalgia |
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Should you only address pain only if you decide to give abx for an ear infection?
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No, pain should be addressed and managed especially in the first 24 hours of infection if possible
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What are some topical and oral agents that are acceptable in treating mild to moderate pain
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Tylenol, motrin and benzocaine
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When is there an option to treat an ear infection with just observation?
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yes, for patients 6 months to 2 years with a nonsevere illness, and for equal to and older than 2 years, as long as there is follow up
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What abx should be first prescribed without knowledge of an allergy for otitis media? What is the dose per KG?
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Amoxicillin, 80-90mg/kg usually split into two doses; so if a child weighs 100kg, they need a total of 800mg, and if 400/5ml(1tspn) then the child would get 1 tspn twice/day
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What is 2nd line for otitis media treatment?
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Augmentin
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How long should you wait to reassess a patient if otitis media does not improve with treatment?
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48-72 hours
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What is the clinical presentation of benign paroxysmal vertigo?
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abrupt episodes of unsteadiness or ataxia, ?nystagmus, may occur in clusters and may resolve with sleep
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