Please enable JavaScript.
Coggle requires JavaScript to display documents.
Otitis Media - Coggle Diagram
Otitis Media
Diagnosis
-
-
-
-
-
red (erythema), yellow or cloudy tympanic membrane
-
-
-
Management
Admit for immediate specialist assessment: people with sever systemic infection, facial nerve paralysis.
-
-
Review treatment if symptoms do not improve within 7 days or at time if symptoms worsen. consider alternative diagnosis.
Antibiotic prescribing
In primary care offer 1st line antibiotic prescription 5 -7 days amoxicillin, penicillin allergy prescribe clarithromycin or eryhromycin.
-
If GFR is 10–30 mL/minute, prescribe a maximum 500 mg twice a day.
If GFR is less than 10 mL/minute, prescribe a maximum 500 mg once a day.
Analgesia
-
Step 2 — substitute the paracetamol with ibuprofen. If the person is unable to take a nonsteroidal anti-inflammatory drug (NSAID), use a weak opioid (such as codeine phosphate).
-
Step 4 — continue with paracetamol and replace the ibuprofen with an alternative NSAID (such as naproxen).
-
Definition
Defined as the presence of inflammation in the middle ear, associated with an effusion and accompanied by the rapid onset of symptoms and signs of an ear infection.
Causes
caused by both viruses and bacteria, and commonly both are present at the same time