Please enable JavaScript.
Coggle requires JavaScript to display documents.
childhood aboriginal ear disease (otitis externa (fungal (aspergillus…
childhood aboriginal ear disease
Acute otitis media
Acute otitis media WITHOUT perforation
appears to be fluid behind the eardrum and signs of infection
Rx: see for AOT with perf
Acute otitis media WITH perforation
Dx: discharge of pus for >2 weeks
Rx: clean out pus with a tissue, panadol, amox for 7 days or azith for 1 day.
Follow up: if been more than 7 days then continue with another round of amox or azith and if perfed thenass ciproflaxacin drops for 5 days.
recurrent otitis media
3 episodes in 6 months or ?4 in 12 months
Rx: referral to paediatrician. Prophylactic azith or amox
Follow up: refer if there is an acute on chronic episode
Chronic otitis media
chronic suppurative: with perf >2 weeks of discharge
Rx: debride the canal then cipro drops for 5 days
Follow up: after 7 days more cipro drops, 5 drops BD for 5 more days
chronic otitis media with EFFUSION
also known as: "glue ear"
chronic fluid behind eardrum without infection
Rx: no antibiotics, do a follow up in 3 months and get an audiology assessment in the mean time.
otitis externa
bacterial
called: "impetigo of the pinna" caused by group A strep.
Ix: charcoal swab MC&S +/- fungal growth
viral
Mainly the URTI viruses
fungal
aspergillus common makes grey discharge
candida makes white discharge
Rx: otocomb otic treatment
Follow up at day 2 and 7 to make sure that the infection is settling watch and refer if mastoiditis.
mastoiditis
systemic infection, unwell, dull ache on the mastoid process, refer to paediatrician immediately.
cholesteatoma
skin grows through a performation in the eardrum, this is like threatening, refer to ENT.
When to refer to ENT
Attic performation in the upper outer part of the tympanic membrane
perf which has lasted more the 3 months
hearing loss > 30 db