PRACTICE SOLUTIONS GRADED A+
⩥ earache. Answer: otalgia
⩥ Tx for otitis media. Answer: Antibiotics - only for recurrent otitis
media
⩥ S/S of AOM. Answer: -ear pain
- hearing loss
-drainage of drum if perforated
-fever
Children: ear tugging or fussiness
⩥ Most commonly tx OM with this. Answer: Acetaminophen, ibuprofen,
or benzocaine/lidocaine for pain
Amoxicillin first line people w/o penicillin allergy.
⩥ Otitis Externa (Swimmer's Ear). Answer: infection of the external
auditory canal and pinna( bacterial or fungal)
, ⩥ How does otitis externa occur. Answer: Swimming, irritation,
introductions of organisms when cleaning the ear
⩥ s/s of otitis externa. Answer: pain, purulent discharge, hearing deficit
⩥ How to differentiate OM & otitis externa. Answer: Otitis externa will
have pain with movement of the pinna
⩥ early signs of ototoxicity. Answer: Tinnitus (ringing in ears)
⩥ What causes ototoxicity?. Answer: Atbx, such as streptomycin,
neomycin, vancomycin, the analgesics aspirin and ibuprofen,
furosemide., and some antineoplastic agents
⩥ Management of tinnitus. Answer: Noise suppression therapy, meds,
forms of alternative medicines such as lipid-flavonoids (no claims of
success)
⩥ Is there a cure for tinnitus?. Answer: No, manage symptoms
⩥ First line tx for suspected ruptured tympanic membrane. Answer: Heal
on its own, Tylenol or ibuprofen, amoxicillin