NR-569 Differential Diagnosis in Acute Care Practicum
Final Exam (Latest Update)
Question:
How is acute otitis media diagnosed?
Answer:
clinical presentation objective findings on physical exam (otoscopy) combined with the patient's history and presenting signs and symptoms
Question:
Management of acute otitis media
Answer:
-the goal of treatment is to control pain and to treat the infectious process with antibiotics
-Adults with AOM should be treated with antibiotics: first line agent is
amoxicillin/clavulanate -Recurrent cases that do not resolve despite treatment may need referral to otolaryngologist
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Question:
first line treatment for acute otitis media
Answer:
amoxicillin 875 mg with clavulanate 125 mg orally twice daily.
mild to moderate: five to seven days
severe: 10 days
Question:
otitis media with effusion
Answer:
presence of fluid in the middle ear without symptoms of acute infection.As fluid builds up in the middle ear and Eustachian tube, it places pressure on the tympanic membrane
Question:
precipitating factors of otitis media w/ effusion
Answer:
URI
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Question:
Symptoms of otitis media w/ effusion
Answer:
hearing loss, ear fullness, complain of communication difficulties, withdrawal, and lack of attention, intermittent otalgia, popping sensation of the ear
Question:
Management of otitis media w/ effusion
Answer:
-Otitis media with effusion generally resolves spontaneously with watchful waiting.-However, if it is persistent, myringotomy with tympanostomy tube insertion is considered an effective treatment.
Question:
Acute Otitis Externa (AOE)
Answer:
is an inflammation, that can be either infectious or non-infectious, of the external auditory canal. "Swimmers ear" 3 / 4
Question:
symptoms of Acute Otitis Externa (AOE)
Answer:
complain of pruritus and ear pain that is usually worse with manipulation of the tragus, pinna, or both. It can also present with otorrhea, fullness sensation, and hearing loss.
Question:
Severity scale: Acute Otitis Externa (AOE)
Answer:
-Mild: pruritus, mild discomfort, and ear canal edema
-Moderate: ear canal is partially occluded
-Severe: The external ear canal is completely occluded from edema. There is
usually intense pain, lymphadenopathy, and fever.
Question:
Physical exam of Acute Otitis Externa (AOE)
Answer:
Otoscopy will reveal an erythematous and edematous ear canal with associated debris (yellow, white, or gray).
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