External ear

20 cards·by tatiana05

Diagnostic for Otitis Externa

Cultures, white count elevated, ESR r/o chronic, CT r/o bone involvement, MRI

Pharmacological Treatment of Bacterial Otitis Externa

Ciprofloxicin/dexamethosone

Pharmacological Treatment of Fungal Otitis Extrnal

Hydrocortisone/acetic acid

Pharmacological Treatment of Systemic External Otitis

Cipro or Oflaxacin

Risk factors of Otitis Media

Day care, allergies, URI, second hand smoke

Pneumatoscopy Acute Otitis Media

Bulging w/ increased vascularity, landmarks poorly visualized

Pneumatoscopy for OME

Air/Fluid bubble, immobile b/c of fluid

Red Flags for Otitis Media

Adults w/ >1 episode of OM refer to ENT

Treatment of Acute Otitis Media

Pain releif, observation 48-72 hrs, amoxicillin w/ clavulanate

Definition of Cholesteotoma

Cyst grows into the middle ear and mastoid, improper function of Eustacian tubes

Pathophysiology of Cholesteotoma

E. tube does not equalize negative pressure trapped

Past Medical History of Cholesteotoma

H/o middle ear fluid/infection, hearing loss, no otalgia unless infected

Signs and Symptoms of Cholesteotoma

Gradual hearing loss, otorhhea, past infection/effusions, perforation or retraction pocket, treat infection and refer to ENT

Definition of Barotrauma

Traumatic middle ear inflammation due to rapid negative pressure, retraction or protraction

Signs and Symptoms of Barotrauma

Pain, fullness, conductive hearing loss, crying(children)

Treatment of Barotrauma

Valsalva, decongestant, antihistamines, activity. Prevention: Gum

Definition of Labyrinthitis

Inflammatory condition affecting the labyrinth in the cochlea and vestibular system

Etiology and Presentation of Labyrinthitis

Viral, vertigo, N/V, hearing loss

Physical Exam for Labyrinthitis

Nystagmus, N/V, vertigo w/ head movement, NL oto exam, NL neuro exam

Treatment for Labyrinthitis

BR, promethazine, meclizine, scololamine patch, prednisone