Acute Otitis Media is mostly caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Symptoms include ear pain, fever, and a bulging, red, or perforated tympanic membrane with decreased mobility. Treatment involves amoxicillin taken orally for 10 days or alternative antibiotics like amoxicillin-clavulanate if amoxicillin is not effective. External otitis is generally caused by Pseudomonas aeruginosa and results in severe ear pain worsened by ear manipulation along with ear canal swelling, redness, and discharge. Treatment consists of ciprofloxacin ear drops for 5-7 days

1. Acute Otitis Media
By BH

2. Etiologies
• Mostly due to Strep. Pneumonia, H. Influenza,
Moraxella catarrhalis.

3. Clinical signs
• Otalgia
• Tympanic membrane: Erythema, effusion,
perforation, decrease or absent of TM mobility,
bulging
• Fever

4. Management
• First line: Amoxicilin 80-90mg/mg q24 (PO) for
10days
• Second line: Amoxicillin-clavulanate, cefdinir,
cefuroxime axetil, and intramuscular ceftriaxone

6. External Otitis
By BH

7.  Etiology
• Mostly due Pseudomonas aeruginosa

8. Clinical signs
• The predominant symptom is acute rapid onset of
ear pain (otalgia), often severe, accentuated by
manipulation of the pinna or by pressure on the
tragus and by jaw motion
• Edema of the ear canal, erythema, and thick,
clumpy otorrhea

9. Management
• Ciprofloxacin ear drop for 5-7days
• Hydrocortisone is consider to added to reduce
inflammation.