Acute otitis media - Revision history

Rossdonaldson1: /* Clinical Features */

2025-04-16T16:59:04Z

Clinical Features

← Older revision		Revision as of 16:59, 16 April 2025
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	==Clinical Features==		==Clinical Features==
	[[File:Otitis media entdifferenziert2.jpg\|thumb\|A bulging tympanic membrane which is typical in a case of acute otitis media]]		[[File:Otitis media entdifferenziert2.jpg\|thumb\|A bulging tympanic membrane which is typical in a case of acute otitis media]]
			[[File:Otitis media grippe.jpg\|thumb\|Another patient with bulging and erythematous tympanic membrane consistent with acute otitis media.]]
	*Symptoms typically include [[Earache\|ear pain]], [[fever]]		*Symptoms typically include [[Earache\|ear pain]], [[fever]]
	*Acute onset (<48hr) AND		*Acute onset (<48hr) AND

Rossdonaldson1: /* Background */

2025-04-16T16:54:36Z

Background

← Older revision		Revision as of 16:54, 16 April 2025
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	[[File:Gray907.png\|thumb\|Ear anatomy]]		[[File:Gray907.png\|thumb\|Ear anatomy]]
	[[File:Otitis Media.png\|thumb\|Anatomy of acute otitis media.]]		[[File:Otitis Media.png\|thumb\|Anatomy of acute otitis media.]]
			[[File:Otitis media.jpg\|thumb\|Schematic showing association with Eustachian tube.]]
	*Peak incidence: 6-18 months of age		*Peak incidence: 6-18 months of age
	* 2nd most common cause of ED visits after URI		* 2nd most common cause of ED visits after URI

Azhandos: /* 2013 AAP Decision to Treat GuidelinesAAP Clinical Practice Guideline The Diagnosis and Management of Acute Otitis Media http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488.full.pdf */

2024-10-28T21:04:26Z

2013 AAP Decision to Treat GuidelinesAAP Clinical Practice Guideline The Diagnosis and Management of Acute Otitis Media http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488.full.pdf

← Older revision		Revision as of 21:04, 28 October 2024
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	\| ≥2y\|\|Antibiotics\|\|Antibiotics\|\|Antibiotics or observation period (wait and see)\|\|Antibiotics or observation period (wait and see)		\| ≥2y\|\|Antibiotics\|\|Antibiotics\|\|Antibiotics or observation period (wait and see)\|\|Antibiotics or observation period (wait and see)
	\|}		\|}
	^~~Fever~~ > 39C or severe otalgia <48 hrs		^Severe symptoms = fever > 39C or severe otalgia > 48 hrs

	'''Also Consider In:'''		'''Also Consider In:'''

Elcatracho: /* Complications */

2022-01-04T09:52:00Z

Complications

← Older revision		Revision as of 09:52, 4 January 2022
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	*[[Brain Abscess]]		*[[Brain Abscess]]
	*[[Labyrinthitis]]		*[[Labyrinthitis]]
	*Lateral Sinus Thrombosis		*Lateral Venous Sinus Thrombosis

	==See Also==		==See Also==

Elcatracho: /* Complications */

2022-01-04T09:51:41Z

Complications

← Older revision		Revision as of 09:51, 4 January 2022
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	*[[Meningitis]]		*[[Meningitis]]
	*[[Brain Abscess]]		*[[Brain Abscess]]
			*[[Labyrinthitis]]
	*Lateral Sinus Thrombosis		*Lateral Sinus Thrombosis

Rossdonaldson1: /* Background */

2021-03-25T16:34:18Z

Background

← Older revision		Revision as of 16:34, 25 March 2021
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	==Background==		==Background==
			[[File:Gray907.png\|thumb\|Ear anatomy]]
	[[File:Otitis Media.png\|thumb\|Anatomy of acute otitis media.]]		[[File:Otitis Media.png\|thumb\|Anatomy of acute otitis media.]]
	*Peak incidence: 6-18 months of age		*Peak incidence: 6-18 months of age

ClaireLewis: /* Management */

2019-09-30T20:38:34Z

Management

← Older revision		Revision as of 20:38, 30 September 2019
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	====Wait-and-see antibiotic prescription (WASP)====		====Wait-and-see antibiotic prescription (WASP)====
	*Rather that routine ~~perscription~~ is an option to avoid over use if the patient does not meet any of the prescription criteria''<ref>Spiro DM. Wait-and-see prescription for the treatment of acute otitis media: a randomized controlled trial. JAMA. 2006 Sep 13;296(10):1235-41.</ref>		*Rather that routine prescription is an option to avoid over use if the patient does not meet any of the prescription criteria''<ref>Spiro DM. Wait-and-see prescription for the treatment of acute otitis media: a randomized controlled trial. JAMA. 2006 Sep 13;296(10):1235-41.</ref>
	*If symptoms worsen or persist for 48-72 then caretaker fill the prescription		*If symptoms worsen or persist for 48-72 then caretaker fill the prescription
	*Fever (relative risk [RR], 2.95; 95% confidence interval [CI], 1.75 - 4.99; P<.001) and otalgia (RR, 1.62; 95% CI, 1.26 - 2.03; P<.001) were associated with filling the prescription in the WASP group		*Fever (relative risk [RR], 2.95; 95% confidence interval [CI], 1.75 - 4.99; P<.001) and otalgia (RR, 1.62; 95% CI, 1.26 - 2.03; P<.001) were associated with filling the prescription in the WASP group

ClaireLewis: /* Clinical Features */

2019-09-30T17:01:31Z

Clinical Features

← Older revision		Revision as of 17:01, 30 September 2019
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	==Clinical Features==		==Clinical Features==
	[[File:Otitis media entdifferenziert2.jpg\|thumb\|A bulging tympanic membrane which is typical in a case of acute otitis media]]		[[File:Otitis media entdifferenziert2.jpg\|thumb\|A bulging tympanic membrane which is typical in a case of acute otitis media]]
			*Symptoms typically include [[Earache\|ear pain]], [[fever]]
	*Acute onset (<48hr) AND		*Acute onset (<48hr) AND
	*Middle ear effusion AND		*Middle ear effusion AND

ClaireLewis: /* Differential Diagnosis */

2019-09-30T17:00:50Z

Differential Diagnosis

← Older revision		Revision as of 17:00, 30 September 2019
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	*Cholesteatoma		*Cholesteatoma
	*[[PTA]]		*[[PTA]]
	*Brain abscess		*[[Brain abscess]]
	*[[Lemierre's Syndrome]]		*[[Lemierre's Syndrome]]
	*Herpes zoster oticus		*[[Herpes zoster oticus]]

	{{Pediatric fever DDX}}		{{Pediatric fever DDX}}

ClaireLewis: /* Analgesia */

2019-09-24T03:56:47Z

Analgesia

← Older revision		Revision as of 03:56, 24 September 2019
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	==Management==		==Management==
	===Analgesia===		===[[Analgesia]]===
	*[[Acetaminophen]]/[[ibuprofen]] and topical [[benzocaine]] (unless [[perforated TM]])		*[[Acetaminophen]]/[[ibuprofen]] and topical [[benzocaine]] (unless [[perforated TM]])

	===[[Antibiotics]]===		===[[Antibiotics]]===
	===2013 AAP Decision to Treat Guidelines<ref>AAP Clinical Practice Guideline The Diagnosis and Management of Acute Otitis Media http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488.full.pdf </ref>===		===2013 AAP Decision to Treat Guidelines<ref>AAP Clinical Practice Guideline The Diagnosis and Management of Acute Otitis Media http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488.full.pdf </ref>===