Exploring Otorrhoea

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Which condition requires urgent systemic antibiotics to control the spread of infection?

Cellulitis of the outer ear
Otitis media
Perichondritis of the outer ear
Necrotising otitis externa (correct)

When is urgent ENT referral needed for a patient with otitis externa?

When there is otorrhoea
When there is a normal external auditory canal
When there are worsening symptoms in a vulnerable patient (correct)
When there is a history of reduced hearing

What is the most common age group affected by otitis media?

Elderly
Teenagers
Children (correct)
Adults

What percentage of children in their first year of life experience otitis media?

10% (C) Signup and view all the answers

What is the characteristic discharge in acute otitis media?

Mucopurulent (C) Signup and view all the answers

What is the typical resolution time for otitis media?

24 hours (C) Signup and view all the answers

What is suggestive of acute otitis media during examination?

Perforation of the tympanic membrane (B) Signup and view all the answers

When is otorrhoea present in otitis media?

When there is a perforation of the tympanic membrane (D) Signup and view all the answers

What is the incidence of otitis media among children in their first year of life?

10% (D) Signup and view all the answers

What is the most common complication of otitis externa?

Necrotising otitis externa (C) Signup and view all the answers

Which of the following is a common symptom of otitis externa?

Itchy ear (C) Signup and view all the answers

What is the prevalence of otitis externa in males?

1.2% (C) Signup and view all the answers

What is the recommended initial treatment for otitis externa?

Ear drops with antimicrobial and steroid (C) Signup and view all the answers

What should patients with otitis externa avoid to minimize further irritation?

All of the above (D) Signup and view all the answers

When should a swab for culture and sensitivity be taken in otitis externa?

If a fungal infection is suspected (A) Signup and view all the answers

What is the recommended treatment for otitis externa if a fungal infection is suspected?

Oral antifungal medication (A) Signup and view all the answers

What is the role of systemic antibiotics in the management of otitis externa?

Not necessary (C) Signup and view all the answers

What is the appropriate referral for otitis externa if symptoms do not improve?

ENT referral for aural microsuction (D) Signup and view all the answers

What is the characteristic appearance of the external auditory canal in otitis externa?

Narrowed and inflamed (D) Signup and view all the answers

What is the main distinguishing feature of otitis externa compared to other causes of a discharging ear?

Change in hearing (A) Signup and view all the answers

Which of the following is a key characteristic of cholesteatoma?

Foul smelling otorrhoea (B) Signup and view all the answers

What is the main cause of cholesteatoma?

Build up of keratin in the middle ear (D) Signup and view all the answers

What is the typical appearance of the external auditory canal in cholesteatoma?

Crusting over the drum (D) Signup and view all the answers

Which condition should be considered as an alternative diagnosis if otitis externa is not resolving?

Cholesteatoma (D) Signup and view all the answers

What is the recommended management for cholesteatoma?

Surgical removal (C) Signup and view all the answers

What is the distinguishing feature of cholesteatoma compared to otitis externa?

Appearance of wax deep within the ear (B) Signup and view all the answers

What is a common symptom of cholesteatoma?

Hearing loss (A) Signup and view all the answers

When should suspected cholesteatoma be assessed urgently?

Within 24 hours (A) Signup and view all the answers