Page 137 - 2021 IDMT Digital
P. 137
OTITIS EXTERNA
Introduction:
• ,QIHFWLRQ RI WKH HDU FDQDO
• 2WLWLV H[WHUQD LV RIWHQ FDXVHG E\ H[SRVXUH WR H[FHVVLYH PRLVWXUH L H 6ZLPPHU V HDU RU
PHFKDQLFDO WUDXPD L H VFUDWFKLQJ FRWWRQ WLSSHG DSSOLFDWRUV FDU NH\V
• 8VXDOO\ FDXVHG E\ Pseudomonas DHUXJLQRVD
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQIXO HU\WKHPD DQG HGHPD RI HDU FDQDO VNLQ
o 3XUXOHQW H[XGDWH IURP WKH HDU FDQDO
Objective:
• 3K\VLFDO ([DP
o &DUHIXO H[DPLQDWLRQ UHYHDOV HU\WKHPD DQG HGHPD RI WKH HDU FDQDO RIWHQ ZLWK
SXUXOHQW H[XGDWH
o 0DQLSXODWLRQ RI WKH DXULFOH RIWHQ HOLFLWV SDLQ
o 70 LI YLVXDOL]HG LV PRELOH EXW PD\ EH HU\WKHPDWRXV
Assessment:
• 'LIIHUHQWLDO
o 6HERUUKHLF GHUPDWLWLV \HOORZ IODNLQJ LQVLGH WKH HDU FDQDO ZKLFK FDQ FDXVH
LUULWDWLRQ DQG VZHOOLQJ
o 1HRSODVLD QRQ UHVROYLQJ RWLWLV H[WHUQD FRXOG EH VTXDPRXV FHOO FDUFLQRPD
o 2WLWLV PHGLD EDFWHULDO LQIHFWLRQ RI WKH PXFRVDOO\ OLQHG DLU FRQWDLQLQJ VSDFHV RI WKH
WHPSRUDO ERQH
Plan:
• 'U\LQJ WKH HDU FDQDO LV IXQGDPHQWDO WR WUHDWPHQW
o $QWLELRWLF GURSV ZLWK RU ZLWKRXW VWHURLG
)OXRURTXLQRORQH RWLF VXVSHQVLRQ
o ,I VZHOOLQJ SUHYHQWV GURSV IURP HQWHULQJ WKH HDU D ZLFN VKRXOG EH SODFHG
o ,Q UHVLVWDQW FDVHV RU LI FHOOXOLWLV GHYHORSV
2UDO IOXRURTXLQRORQHV DUH WKH GUXJ RI FKRLFH
Patient Education:
• .HHS HDU FDQDO GU\ E\ LQVWLOOLQJ D PL[ RI DOFRKRO ZKLWH YLQHJDU DIWHU PRLVWXUH
H[SRVXUH
• 3XUXOHQW GHEULV VKRXOG EH JHQWO\ UHPRYHG SULRU WR LQVWLOOLQJ HDU GURSV IRU EHVW UHVXOWV
• )ROORZ XS $FWLRQV
o 5HWXUQ LI V\PSWRPV GR QRW LPSURYH ZLWK WUHDWPHQW RU LI SDLQ ZRUVHQV
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
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