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Peds Ears Test

Enter the letter for the matching Answer
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1.
Rx for recurrent AOM
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2.
Reason for reduction in incidence o fOM
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3.
RX for OM
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4.
Management of OM with effusion
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5.
Laboratory Findings of OM
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6.
OM with effusion/ serous otitius
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7.
Management of OM with effusion
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8.
Clinical manifestations of Otitis Externa
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9.
Causative pathogens of ostitis externa
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10.
Management & tx of otitis externa
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11.
OM physical exam
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12.
Complications of OM & OE
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13.
OM with effusion
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14.
When to refer recurrent AOM
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15.
Risks for Recurrent AOM (7)
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16.
Management of OE
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17.
Causative organisms of OM with effusion
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18.
Definition of Recurrent Acute Otitis Media
A.
Majority will clear spontaneously within 2 months Treatment if complications associated with chronic middle ear effusions- if kid already has hearing speech delay Investigate underlying etiology Sinusitis Allergy Immune deficiency Submucus cleft pa
B.
Clinical findings Usually asymptomatic Physical findings Opaque TM Translucent with bluish effusion Retracted TM with decreased mobility Air fluid levels or bubbles Laboratory Hearing loss is frequently present Tapanogram – flat Mostly tempory
C.
Antibiotic prophylaxis Single daily dose 3 weeks-3 months Minimizing risk factors Immunizations status Prevnar Myringotomy/Tympanostomy Tubes Adenoidectomy
D.
Antibiotic therapy Amoxicillin 80-90mg/kg/day Augmentin 40mg/kg/day Cephlasporins Ceftin Omnicef Cefzil Zithromax Biaxcin
E.
Pseudomonas aeruginosa (60%) Staph aureus (10%) Other pathogens (30%) Group A strep Enterobacteriaceae Proteus
F.
HIB vaccine, & prevnair (pneumococcal) vaccine
G.
Cholesteotoma, hearing loss, speech delay, mastoiditis, perforation, meningitis
H.
Solutions of half alcohol and vinegar instilled into ear after swimming Molded ear plugs Particularly for PE tubes Referral Draining ear that persists for greater than 2 weeks with treatment
I.
Defined as a chronic bacterial infection persisting more than 2 weeks Terms used synonymously Secretory otitis Serous otitis Chronic purulent otitis
J.
Tympanocentesis of fluid id of causative organisms indicated 1) fail abx tx , suspected or confirmed complication, OM in neonate, sick neonate, immulogically compromised pt,
K.
>2 years of age Swelling of ear canal Erythema and purulent exudate Mild to severe otalgia, especially with movement of the pinna Can be associated with concomitant acute otitis media, hearing loss, ear fullness, pressure, pruritis, and severe deep pa
L.
Topical antibiotics Cortisporin suspension Fluoroquinolones Ciprofloxacin Ofloxacin Fluoroquinolones with steroids Ciprodex OtoWick Analgesics
M.
Distinct acute episodes interspaced by periods of complete resolution- these are kids that need PE tubes
N.
Full/ bulging tympanic membrane, decreased or absent mobility on insufflation, opaque tympanic membrane, otorrhea, (erythema of TM is not diagnostic)
O.
Thirty-Fifty percent of effusions will grow bacterial pathogens (generally don’t cx) H. influenza B. catarrahalis S. pneumoniae S. epidermidis
P.
-watch & wait: reexamine 3 mth, refer at 6. Nonsurgical- abx = acute OM. Surgical: myringotomy with aspiration of fluid, PE tubes.
Q.
First episode at age less than 6 months Siblings in home Patient is male Formula fed Day care attendance Cigarette smoke in home Cold weather months of the year
R.
Referral means surgery 4-5 episodes of acute OM in a season Refractory disease Mastoiditis Speech/language delay Hearing loss
Type the Question that corresponds to the displayed Answer.
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19.
Strep pneumonia (40-50%), H flu (40%), Moraxella catarrhalis, ALSO Group A Beta hemolytic strep, Staph aureus, anerobic bacteria, viruses
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20.
Swimmer’s ear. Etiology: common in summer Water causes breakdown of protective lining, bacteria multiply Acute= localized. Chronic = Secondary infection from tympanic cavity discharge, multiple pathogens Malignant = Occurs in immunocompromised patients
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21.
not improved in 48-72 hours reevaluate, if no other pathology found, cover Beta Lactamase organism (augmentin) Supportive: antipyretics and analgesics Auralgan and Otocain topical pain meeds reevaluated after 3-4 weeks with an acute otitis media
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22.
Cholesteotoma: Destructive and expanding keratinizing squamous epithelium in the middle ear and/or mastoid process Untreated can eat into the malleus, incus and stapes, which can result in nerve deterioration, deafness, imbalance and vertigo
incorrect
23.
Pain, otalgia, fever, irritability, URI signs & symptoms, night awakenings

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