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Acute Suppurative Otitis Media
- most common 3-6 years old
Pathology
- usually preceded by upper respiratory tract infection
- acute inflammatory oedema blocks eustachian tube
- viral effusion into middle ear
Organisms
History
Examination
- red bulging ear drum
- eventually ruptures with release of pus and reduction of pain
Treatment
- analgesia
- oral fluids
- antibiotics
- amoxycillin / penicillin (check with lab)
Outcome
- resolution
- necrosis
- retraction pockets → cholesteatoma
- conductive deafness
- adhesions
- chronicity
Complications
- acute mastoiditis
- subperiosteal abscess
- facial paralysis
- acute suppurative labyrinthitis
- venous sinus thrombosis
- extra-dural abscess
- subdural abscess
- meningitis
- brain abscess
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