Page 138 - 2021 IDMT Digital
P. 138
OTITIS MEDIA, ACUTE
Introduction:
• $FXWH RWLWLV PHGLD LV D EDFWHULDO LQIHFWLRQ RI WKH PXFRVDOO\ OLQHG DLU FRQWDLQLQJ VSDFHV
RI WKH WHPSRUDO ERQH
• 8VXDOO\ SUHFLSLWDWHG E\ D YLUDO 85, WKDW FDXVHV HXVWDFKLDQ WXEH REVWUXFWLRQ DQG VHFRQGDU\
LQIHFWLRQ
o Streptococcus pneumoniaH Haemophilus influenzDe DQG 0RUD[HOOD FDWDUUKDOLV
DUH PRVW FRPPRQ RUJDQLVPV
Subjective:
• 6LJQV DQG 6\PSWRPV
• 2WDOJLD DXUDO SUHVVXUH GHFUHDVHG KHDULQJ IHYHU
• )RFXVHG +LVWRU\
• 5HFHQW LOOQHVV
• +LVWRU\ RI HDU LQIHFWLRQV RU SUHYLRXV VXUJHULHV W\PSDQRSODVW\
Objective:
• 3K\VLFDO ([DP
• 70 HU\WKHPD DQG GHFUHDVHG PRELOLW\ RI WKH W\PSDQLF PHPEUDQH
• ,I HIIXVLRQ LV VHYHUH WKH 70 FDQ EXOJH RXWZDUG DQG UXSWXUH LV LPPLQHQW
5XSWXUH ZLOO VSRQWDQHRXVO\ KHDO
3DLQ ZLOO OLNHO\ EH UHGXFHG LI UXSWXUH RFFXUV
Assessment:
• 'LIIHUHQWLDO
o 2WLWLV H[WHUQD LQIHFWLRQ RI WKH HDU FDQDO
o %DURWUDXPD EORRG EHKLQG 70 RU LQMHFWHG 70 ZLWK KLVWRU\ RI H[SRVXUH WR FKDQJH
LQ SUHVVXUH
o (XVWDFKLDQ WXEH G\VIXQFWLRQ LQWHUPLWWHQW SDLQ LPPRELOH 70
Plan:
• 0HGLFDWLRQ
o +LJK GRVH DPR[LFLOOLQ ILUVW OLQH
o (U\WKURP\FLQ VXOIRQDPLGH 3&1 DOOHUJLF
o 5HVLVWDQW FDVHV
&HIXUR[LPH
+LJK GRVH DPR[LFLOOLQ FODYXODQDWH
• 5HFXUUHQW FDVHV UHTXLUH UHIHUUDO DQG ORQJ WHUP DQWLELRWLF WUHDWPHQW
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