Otitis Media in Children: Causes, Symptoms, Diagnosis and Treatment
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All Otitis media is middle-ear disease. Otitis media are of 2 major types: acute otitis media and otitis media with effusion.
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Otitis Media in Children: Causes, Symptoms, Diagnosis and Treatment
- 1. Otitis Media
- 2. Overview 75% of children have 3 episodes by 2 caused by Bacteria S.pneunomia H.influenza Moraxella caterhalis Virus Influenza A RSV Parainfluenza
- 3. Presentation Ear pain/tugging on ears Fever Irritability Difficulty feeding/sleeping Vomiting/diarrhea
- 4. Diagnosis Otoscope Erythema Bulging or retraction Loss of TM light reflex Decreased TM mobility
- 5. Differential Diagnosis Viral otitis media ¼ Otitis Extrena TM not affected Otitis Media with Effusion Fluid level no erythema, hearing loss only symptom Chronic Otitis Media Teething
- 6. Treatment Ibuprofin or acetaminophen Topical benzocaine over 2 Under 2 risk of methemoglobinemia No antihistamines High dose amoxicillin: 80-90 mg Resistant cases- Augmentin Tympanostomy tubes 3 infections in 6 months or 4 in 12 months
- 7. Complications TM perforation Mastoiditis Meningitis Chesteatomas Chronic otitis media Hearing loss
- 8. Thanks For Watching http://johnpereless5.wordpress.com/ Source: worldmedicalschool.org/volunteer