Condition Info - BotMed Application

ConditionName

Otitis media (acute)

ConditionDescription

Symptoms

Fever
Ear pain esp. At night
Decreased hearing
Decreased mobility
+/- bloody discharge

PhysicalFindings

Bulging of tympanic membrane – most diagnostic finding 
Poor light reflex

ClinicalTests

RiskFactors

Children have more horizontal ear canal.  
Pacifier use

IsRedFlag

IsNPLEX

Consequence

Meningitis
Hearing loss
Sigmoid sinus thrombosis
Brain abscess
Ruptured TM - hearing loss
Labyrinthitis

ProgressionFromCondition

Caused by:
S. pneumo
H. influ
M. catarrhalis
Strep pyage
Viruses

TreatmentOptions

Just observation if from 6 m to 2 years/ unilateral, mild illness, possible to give antibiotic if conditions become worse

PharmOptions

Antibiotics
Age>=2 y/o unilateral or bilateral  without otorrhea mild case and ability to give antibiotic if condition become worse
amoxicillin

WebLink

https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/middle-ear-and-tympanic-membrane-disorders/otitis-media-acute