#ASOM #ENT #SynapticSurge
Today let's crack down Acute Suppurative Otitis Media in the easiest way possible including aetiology, pathology, stages, presentation and treatment.
For easy notes on ASOM click on the link below:
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For PG aspirants we have included some questions in the video , answers and explanations for the questions:
Q1. A 3yr old child presents with earache & fever, on examination there is congested tympanic membrane with bulge , treatment of choice is ?
Ans) C. Only antibiotic
First line treatment is antibacterial therapy which should be reviewed after 48-72hrs , if there is good response continue the treatment for 10 days and complete resolution occurs.
If pain & fever persist or increase, another antibacterial therapy for 10days / myringotomy & culture and then specific antimicrobial therapy for 10 days - complete resolution occurs.
If persistent fluid but ear ache & fever abate periodic checks done for 12 wks.
complete resolution occurs (no effusion)
Or if there is persistent effusion it is treated as otitis media with effusion
We should not wait and watch because there is risk of spreading of infection and other complications
Q2. Which of the following statement regarding ASOM is true
Ans) A. Most frequently it resolves without sequelae
Stage of complication occurs only if the virulence of the organism is high or the resistance of patient is poor.
There resolution may not take place & disease spread beyond middle ear
It may lead to acute mastoiditis, subperiosteal abscess, facial paralysis, labyrinthitis, petrositis, extradural abscess, meningitis, brain abscess or lateral sinus thrombophlebitis.
Most common organisms are Streptococcus pneumoniae (30%)
Haemophilus influenza(20%)
Moraxella catarrhalis(12%).
Q3. Incision for myringotomy is given in posteroinferior quadrant this is due to the following reasons except
Ans) D. It is the least vascular region
Posteroinferior quadrant is preferred because:
It is more lateral and easily accessible to surgeon.
Damage to structures Chorda tympani, facial nerve , incudostapedial joint, oval window can be avoided.
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Background Music: Snowman
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Outro Music: Pixels
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