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What is otitis media - (answer)Infection of the middle ear. Presented often after upper respiratory
infection from increase amount of nasal drainage
Otitis media S/S - (answer)Ear pain. (kids will tug their ears/fuss). Heariing loss, drainage of
drum if perforated, Fever.
otitis media diagnosis - (answer)ear exam. If erythematous (red, yellow white or opague) =
problem. BULDING IS BETTER HALLMARK THAN REDNESS.
Otitis media TX - (answer)observation or Amoxicillin for those who don't go t a penicillin
allergy or without recent beta-lactam treatment. If unresponsive to amoxicillin use with
clavulanate. Tylenol/ibuprophen or benzocaine and lidocaine.
what could go wrong with otitis media - (answer)Ruptured Tympanic membrane or extended
infection. (mastoiditis/meningitis)
,otitis externa - (answer)"Swimmers ear" infection of the external auditory canal and pinna.
Usually bacterial origin but occasionally is fungal. From external sources (earphones, earplugs,
ear cleaning)
otitis externa S/S - (answer)pain, preulent dischargem hearing deficit. PAIN IS USUALLY
INCREASED WITH MOVEMENT. UNLIKE OTITIS MEDIA.
Rhinovirus - (answer)common cold
Rhinovirus s/s - (answer)Headache, occasional fever, sneezing, coughing, sorethroat, post nasal
drip, edematous nasal turbinates, tonsillar edematous
rhinovirus TX - (answer)supportive, treat sxs - cough, congestion
Tylenol/ibuprophen, nasal decongestant, nasal saline flush, salt water gurgle
allergic rhinitis - (answer)an allergic reaction to airborne allergens that causes an increased flow
of mucus. Inflammation and swelling in mucus membranes caused by allergies
Allergic rhinitis - (answer)the reaction of the nasal mucosa to a specific allergen.
,S/S of allergic rhinitis - (answer)Rhinorrhea (runny nose), stuffiness, sneezing, itchy/watery
eyes. Edematous/nasal turbinates
Tx for allergic rhinitis - (answer)- Nasal corticosteroids, OTC antihistamines (oral and nasal
spray), nasal saline flush, aovid allergens
Bacterial conjunctivitis - (answer)pink eye. Inflammation of the thin membrane the covers inside
eyelids
Bacterial conjunctivitis s/s - (answer)red/pink eye, pain, itching, green/yellow discharge, crusted
eyes
bacterial conjunctivitis tx - (answer)- Eye drops for itching, oral antihistamines, polymyxin
B/Erythromycin. Cool wet compress. No eye makeup and stuff.
Viral conjunctivitis s/s - (answer)pinkness swelliing watery eyes sensitive to light
acute sinusitis - (answer)<4 weeks. Viral
, inflammation of tissue linning the sinuses.
chornic sinustis - (answer)more than 12 weeks
nasopharyngitis - (answer)common cold
Nasopharyingitis - (answer)post nasal drip/sneezing/itchy watery eyes/clear discharge in
eyes/pharynx edema
nasopharyngitis tx - (answer)antihistamines (diphenhydramine/lortadine) Tylenol. Ibuprophen.
Vor bacterial penecillins/cephalexin, antihistamines
bacterial rhinosinusitis - (answer)inflammation of tissue lining the sinuses. Sinus produce more
mucus during viral infection but is unable to drain due to inflammation. Backed up fluid leads to
bacteria growth
bacterial rhinosinusitis s/s - (answer)dull constant pain over sinuses, tooth pain, throbbing that
worsesns with cough head movements or bending forward. Symptoms last greater than 10 days
or become worse after 3-4 days. More severe than viral. Can have fever up to 102