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Acute Otitis Media - Coggle Diagram
Acute Otitis Media
Complications
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Rarely, mastoiditis, meningitis, intracranial abscess, sinus thrombosis, and facial nerve paralysis.
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Definition
Risks groups
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more common: males, passive smoking, nursery children, bottle fed
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inflammation in the middle ear, associated with an effusion, and accompanied by the rapid onset of symptoms and signs of an ear infection.
Diagnosis
Acute onset of Symptoms
Younger children - holding, tugging, rubbing of ear with fever, crying, restlessness, cough, rhinorrhoea
Older children-. earache,
Differential
Chronic suppurative otitis media - persistent inflammation and perforation of the tympanic membrane with draining discharge for more than 2 weeks.
myringitis - erythema and injection of the tympanic membrane are visible on otoscopy but there are no other features of otitis media.
Otitis media with effusion (glue ear) - fluid in the middle ear without symptoms or signs of acute infection. On examination with an otoscope, an effusion and air fluid levels or bubbles are visible, with normal tympanic membrane landmarks. The most common presentation is conductive hearing loss.
Otitis externa - ear pain also include eustachian tube dysfunction, mastoiditis, malignancy, and referred pain.
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Examination
Moderate to severe bulging of the tympanic membrane, loss of normal landmarks. Air fluid level behind the middle ear indicates effusion
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red, yellow, cloudy Tympanic membrane
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