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Otitis Media, ACUTE OTITIS MEDIA, Otorrhea_Gross.sized_, Medical risk…

- - - - absent (stimulus & probe effect)
    - - Pneumatic Otoscopy: immobility of TM
    - - Absent
  - - - Young age & low birth weight
      - Large family size
      - History of OME in sibling
      - Short duration/no breast feeding
      - Passive smoking
  - - - Grommet tube
      - Adenoidectomy
    - - not recommended
- - - - Mild to moderate CHL
    - - Type B tympanogram with large ECV (without drainage)
  - - - with drainage
        
        foul smell
      - without drainage
  - - - Aural toilet
      - Antimicrobial treatment
        
        topical antibiotics
        
        topical antiseptics
        
        parental antibiotics
        
        oral antibiotics
    - - tympanoplasty
      - myringoplasty
      - mastoidectomy
- - - - Myringotomy
      - Tympanostomy tube
      - Adenoidectomy
    - - Antibiotics
      - Analgesics
      - Antihistamines and decongestants
    - - Reduced pacifier use during months 7 to 12 of life
      - Eliminating exposure
        to tobacco smoke
      - Prolonged breastfeeding
  - - - Inflammed TM
      - Pneumatic otoscopy: Immobile TM
      - Bulging and Opaque TM
  - - - Caused by
        
        Allergies
        
        cold
        
        Flu
        
        Sinus infection
        
        Infected or enlarged adenoids
        
        Cigarette smoke
        
        Drinking while laying down (in infants)
- - - - Tympanoplasty
      - Mastoidectomy
      - Myringoplasty