Inflammation of the middle ear; usually accompanied by fluid collection
Acute otitis media (AOM): inflammation of the middle ear. Rapid onset; cause may be infectious, either viral (A...
AOM:
Otalgia
Preceding or accompanying URI symptoms
Decreased hearing
AOM in adults can present with only otalgia without fever, or unilateral hearing loss.
AOM in infants and toddlers may...
Assess pain and if present, recommend treatment to decrease otalgia.
Minimize any risk factors.
Two-thirds of children will recover without any antibiotic treatment.
AOM: Observ...
If therapy was initiated, consider changing the antibiotic; options are...
H65 Nonsuppurative otitis media
H65.0 Acute serous otitis media
H65.00 Acute serous otitis media, unspecified ear
H65.01 Acute serous otitis media, right ear
H65.02 Acute serous otitis media, l...
Pneumatic otoscopy is the single most specific and clinically useful test for diagnosis.
Consider a delay of antibiotics for 24 to 48 hours in uncomplicated presentations (>6 months ...
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Otitis media. Otitis media, inflammation of the middle ear cavity, has two major manifestations. Acute otitis media (AOM) is a bacterial infection that classically causes an erythematous, bulging tympanic membrane. During an episode of otitis media with effusion (OME), the tympanic membrane may be dull, rather than erythematous, and more often assumes a retracted position. Decreased mobility of the membrane occurs with both AOM and OME. Unfortunately, the findings represent a spectrum and are not always typical.
From Fleisher GR, MD, Ludwig W, MD, Baskin MN, MD. Atlas of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2004.
Otitis media. Otitis media, inflammation of the middle ear cavity, has two major manifestations. Acute otitis media (AOM) is a bacterial in...
Otitis media
From Moore KL, PhD, FRSM, FIAC, Dalley AF II, PhD. Clinical Oriented Anatomy (4th ed.). Baltimore, Lippincott Williams & Wilkins 1999.
From Moore KL, PhD, FRSM, FIAC, Dalley AF II, PhD. Clinical Oriented Anatomy (4th ed.). Baltimore, Lippincott Williams ...
Abnormalities of the Tympanic Membrane Acute Otitis Media Note the red, bulging membrane; decreased or absent light reflex.
From Weber J RN, EdD, Kelley J RN, PhD. Health Assessment in Nursing, 2nd edition. Philadelphia: Lippincott Williams & Wilkins, 2003.
From Weber J RN...
Otitis Media A bulging red tympanic membrane may indicate pus or fluid in the middle ear, a sign of otitis media. Infection of the middle ear often is secondary to upper respiratory infections. Inflammation and swelling of the mucous membrane lining the tympanic cavity may cause partial or complete blockage of the pharyngotympanic tube. The tympanic membrane becomes red and bulges and the person may complain of "ear popping." If untreated, otitis media may produce impaired hearing as the re...
Otitis Media A bulging red tympanic membrane may indicate pus or fluid in the middle ear, a sign of otitis media. Infection of the middle ...
Understanding the common cold, the ear, secretory otitis media.
Understanding the common cold, the ear, acute otitis media.