Exploring Otorrhoea
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Questions and Answers

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?

    <p>10%</p> Signup and view all the answers

    What is the characteristic discharge in acute otitis media?

    <p>Mucopurulent</p> Signup and view all the answers

    What is the typical resolution time for otitis media?

    <p>24 hours</p> Signup and view all the answers

    What is suggestive of acute otitis media during examination?

    <p>Perforation of the tympanic membrane</p> Signup and view all the answers

    When is otorrhoea present in otitis media?

    <p>When there is a perforation of the tympanic membrane</p> Signup and view all the answers

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

    <p>10%</p> Signup and view all the answers

    What is the most common complication of otitis externa?

    <p>Necrotising otitis externa</p> Signup and view all the answers

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

    <p>Itchy ear</p> Signup and view all the answers

    What is the prevalence of otitis externa in males?

    <p>1.2%</p> Signup and view all the answers

    What is the recommended initial treatment for otitis externa?

    <p>Ear drops with antimicrobial and steroid</p> Signup and view all the answers

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

    <p>All of the above</p> Signup and view all the answers

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

    <p>If a fungal infection is suspected</p> Signup and view all the answers

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

    <p>Oral antifungal medication</p> Signup and view all the answers

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

    <p>Not necessary</p> Signup and view all the answers

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

    <p>ENT referral for aural microsuction</p> Signup and view all the answers

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

    <p>Narrowed and inflamed</p> Signup and view all the answers

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

    <p>Change in hearing</p> Signup and view all the answers

    Which of the following is a key characteristic of cholesteatoma?

    <p>Foul smelling otorrhoea</p> Signup and view all the answers

    What is the main cause of cholesteatoma?

    <p>Build up of keratin in the middle ear</p> Signup and view all the answers

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

    <p>Crusting over the drum</p> Signup and view all the answers

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

    <p>Cholesteatoma</p> Signup and view all the answers

    What is the recommended management for cholesteatoma?

    <p>Surgical removal</p> Signup and view all the answers

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

    <p>Appearance of wax deep within the ear</p> Signup and view all the answers

    What is a common symptom of cholesteatoma?

    <p>Hearing loss</p> Signup and view all the answers

    When should suspected cholesteatoma be assessed urgently?

    <p>Within 24 hours</p> Signup and view all the answers

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