OME, which is caused by URI, and/or maybe allergies
Point to the helix, antihelix, lobule, tragus, antitragus
Point to the pars flaccida, pars tensa, handle(manubrium) of the malleus, the 4 quadrants.
What's the 1st line therapy for AOM? 2nd?
1st : Amoxicillin, Macrolides for allergic
2nd: 1st generation Cephalosporin/Augmentin
What's the main differential for AOM?
What should you suspect with persistent unilateral serous otitis?
What are the 2 greatist risk factors for AOM?
Age <2 and attending day care.
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.
What tool is the most useful for diagnosis of AOM?
What else could cause injection of the TM?
Crying in infants and fever.
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/
What about decongestants/ antihistamines?
Steroids, decongestants, and antihistamines are not effective in the treatment of AOM, and may instead cause complications.