ENT
ACUTE OTITIS MEDIA
Prompt
ResponseDx: Acute suppurative otitis media
Bulging tympanic membrane
Erythematous TM
Pus behind TM
Bulging tympanic membrane
Erythematous TM
Pus behind TM
PromptImportant examinations in Otitis media
ResponseBoggy/fluctuant swelling over mastoid process - mastoiditis
Neck stiffness/kernig’s/brudzinski’s sign - meningitis
Confusion/disorienteation - encephalitis/cerebral abscess
Decreased GCS - Encephalitis/raised ICP
Ataxia/cerebellar signs - cerebellar abscess
Neck stiffness/kernig’s/brudzinski’s sign - meningitis
Confusion/disorienteation - encephalitis/cerebral abscess
Decreased GCS - Encephalitis/raised ICP
Ataxia/cerebellar signs - cerebellar abscess
PromptList indications for oral antibiotics in acute otitis media
ResponseImmunocompromised
ATSI
Only hearing ear/prior hearing impairment
Cochlear implant
Failure of conservative managment
Suppurative complications eg: mastoiditis (? needs IVABx)
ATSI
Only hearing ear/prior hearing impairment
Cochlear implant
Failure of conservative managment
Suppurative complications eg: mastoiditis (? needs IVABx)
PromptComplications of otitis media
ResponseChronic supporatvie otitis media
Tympanic membrane perforation
Mastoiditis
Cholesteatoma
Intracranial extension - encephalitis/meningitis/cerebral abscess
Hearing loss
Tympanic membrane perforation
Mastoiditis
Cholesteatoma
Intracranial extension - encephalitis/meningitis/cerebral abscess
Hearing loss