Summary
Concise summary of the Ear, Nose and Oropharynx
- Course
- Institution
- Book
Summary of the Ear, Nose and Oropharynx
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Summary of the Nervous System DRUGS
-
Concise summary of the Emergency Tx of Poisoning
-
Concise summary of Anaesthesia
1 review
By: rubana8 • 2 year ago
Seller
Follow
anmoll
Reviews received
Content preview
12 – Ear, Nose and OropharynxTx in over 3 year olds = anaesthetic ear drops
Chapter 12 – Ear, Nose plus oral analgesics
and Oropharynx Indications for ABs = systematically unwell,
high risk of complications, cystic fibrosis,
OTITIS EXTERNA immunosuppression, children < 2 years with
bilateral otitis media or otorrhoea
Inflammatory reaction of meatal skin
Otitis media with effusion (‘glue ear’)
Effective method = introduce a ribbon gauze
Occurs in 10% of children and in 90% of
dressing or sponge wick soaked with
children with cleft palates
corticosteroid ear drops or within an astringent
If it persists for > 1 month, refer child
like aluminium acetate solution.
Chronic OM
If infected:
Cleanse with aural micro-suction
Topical neomycin or clioquinol for < 7 days
Consider antibacterial ear ointment
(excess use = fungal infection)
Amoxicillin – used for acute exacerbations
Aluminium acetate
of chronic infection
Chloramphenicol - propylene glycol may
cause hypersensitivity in 10% Pts Removal of ear wax
AVOID aminoglycosides or polymyxins if Softeners = olive or almond oil ear drops
perforated tympanic membrane (eardrum) Sodium bicarbonate ear drops – effective
or patent grommet. If used by specialists: but may cause dryness of ear canal
o Use only in obvious infection If wax is hard and impacted = used BD for
o Tx should be for a max 2 weeks several days. Lie with the affected ear
o Counsel on ototoxicity risk uppermost for 5-10 mins
o Commence baseline audiometry Docusate and urea hydrogen peroxide are
Acetic acid 2% (‘EarCalm’) - antifungal and used to soften ear wax
antibacterial activity in external ear canal Irrigation (water) – used to remove wax
Flucloxacillin – used for resistant staph
Avoid irrigation in:
infection (boil) in ear drum
- Young children
OTITIS MEDIA - Pts unable to cooperate with procedure
- Pts with otitis media in last 6 weeks
Acute - Otitis externa or previous ear surgery
Characterised by inflammation in the - H/O ear drum perforation
middle ear associated with effusion = rapid
NOSE
onset of symptoms of ear infection
Causes = viruses or bacteria (or both) Seasonal allergic rhinitis (hayfever) – start Tx
Symptoms = ear pain, poor feeding, approx. 2-3 weeks before season starts
irritability, fever, crying, restlessness at
Corticosteroids – avoid in untreated nasal
night, cough or rhinorrhoea – usually
resolve in 3-7 days without ABs infections, after nasal surgery and in pulmonary
TB. Risk of systemic SEs is higher with nasal
Complications = mastoiditis, meningitis,
intracranial abscess, sinus thrombosis and drops compared to sprays
facial nerve paralysis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anmoll. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.81. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now