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Otitis Media - Coggle Diagram

- - - - Antibiotics/Anti-inflammatories
        
        First line: Amoxicillin for 5-7 days
        
        S. Pneumoniae Resistance: High dose amoxicillin
      - Ventilation Tubes
        
        4 Episodes AOM in 6 months, 6 in 12 months
  - - - Going to see with a bottle/drinking from bottle, day care, smoking in house
    - - Fluid present bilaterally>3 monhts
      - Hearing level worse than 30 dB threshold
      - More aggresive if language delay present
      - Typically not just to drain fluid, but to bypass eustachian tube to ventilate middle ear
- - - - Can reduce hearing, risk of water entry, risk of cholesteatoma
    - - Treatment
        
        Hospitalization for IV antibiotics
        
        Can add: Myringiotonmy + Tube, Irrigationa nd drainage, CT, Surgery
    - - Treatment
        
        Ventilation tube, consider steroids
  - - - Most common complication
      - Treat with Tubes + IV antibiotics and Mastoidectomy
    - - Diagnossi
        
        CT scan reveal abscess and middle ear pathology
      - Treatment
        
        Mastoidectomy and drainage of abscess
    - - Signs of blood invasion (Fever with rigors/Chills), persistent fever (septicemia), Signs of Increased ICP (headache, vomiting, papilledema)
    - - Increased ICP without hydrocephalus
      - Can lead to optic atrophy, and commonly associated with sigmoid sinus thrombophlebitis
      - Patients appear more ill than expected
      - CT/MRI are indicated