Term
| How do FQNs work for acute otitis externa? |
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Definition
| FQNs have no significant differences in clinical outcomes - but are drug of choice in a perforated eardrum or tympanic tubes |
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Term
| What is acute otitis externa? |
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Definition
| Inflammation of the external ear canal - break in the skin or ear wax. 90% unilateral |
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Term
| What causes swimmer's ear? |
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Definition
- S. aureus and/or P. aeruginosa
- Risk - swimming, trauma, exposure to bacteria
- Common in 7-12 years old
- Sx stop 1-3 days after tx, return to water 4-7 days |
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Term
| What are the symptoms of swimmer's ear? |
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Definition
- Pain - worsened by chewing
- Itching
- Can see discharge
**Canal w/ erythema, mobile tympanic membrane, pain w/ movement of earlobe |
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Term
| What topical analgesics can be used for acute otitis externa? |
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Definition
- Auralgan - acetic acid
- Antipyrine/Benzocaine
- Sweet oil
**Do not use if tympanic membrane perforated |
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Term
| What antibiotics are used for AOE? |
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Definition
- Cortisporin otic soln or susp - contains neomycin. Susp is less irritating
- FQN - twice daily dosing, can only use ciprodex for tubes |
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Term
| What homeopathic products can be used for AOE? |
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Definition
- Acidifying sln - vinegar or H2O2
- Similasan earache |
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Term
| What products can be used to prevent AOE? |
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Definition
- Vosol acetic acid solution
- Auro-Dri = isopropyl alcohol and glycerin
- Homemade acetic acid and rubbing alcohol products |
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Term
| What products can be used to remove ear wax? |
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Definition
- Debrox
- Murine
Contain Carbamide Peroxide 6.5% |
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