General Surgery — Flashcards

Consider _____ for acute otitis media if there is no-response to treatment OR the patient is severley unwell OR immunodeficiency

Hint: Investigation

_____ is a severe, necrotising infection of the external auditory canal which can extend to the skull base

The _____ is shorter and more horizontal in children which leads to negative pressure in the middle ear and fluid accumulation

Hint: Anatomy

Otoscopy of otitis externa will show an _____ & erythematous external canal with a non-bulging tympanic membrane which may be obscured by debris

Acute otitis media presents with: _____ which presents as ear tugging and crying in infants Conductive hearing loss which presents as speech/language delay in infants Otorrhoea if the tympanic membrane is ruptured Fever

Otitis externa in the presence of a _____ may indicate spread of infection

Uncomplicated acute otitis media is managed with _____ +/- anaesthetic ear drops

Hint: Oral analgesia

What are the management options for otitis media with effusion in children? Non-surgical: _____ Surgical: Grommets +/- Adenoidectomy

_____ and Pip-taz may be used to treat malignant otitis externa due to their coverage of psuedomonas

FeverPAIN criteria guidance: 0-1: _____ 2-3: No antitbiotics or back-up prescription (34-40%*) 4-5: Antibiotics (62-65%*)