U5

Non-suppurative/secretory Otitis Media etiology?

Non-infective → culture sterile

Recurrent Otitis Media definition criteria?

3 times/6 months, or > 4 times/1 year

Chronic Otitis Media characteristic symptom?

Foul smelling otorrhea

Otitis Media age risk factor?

6-20 months

Otitis Media socioeconomic risk factor?

Low socioeconomic status

Otitis Media protective factor?

Breast feeding

Otitis Media symptoms in infants?

In infants → Non-specific

Otitis Media symptoms in older children?

Fever, Otalgia, Otorrhea

Otitis Media TM signs on examination?

Red, bulge, loss of light reflex

Otitis Media highlighted complications?

Chronic suppurative OM, Acute mastoiditis

Otitis Media primary management?

Spontaneous resolution

Otitis Media surgical indication (highlighted)?

hearing loss independent on OM

Otitis Media antibiotic indications (symptoms/signs)?

Moderate-severe otalgia, Otalgia > 48 h, > 39C

Otitis Media antibiotic indications (age/bilateral)?

< 24 months + bilateral OM

Croup (Laryngotracheobronchitis) etiology?

parainfluenza virus

Croup age group prevalence?

3 months - 5 years, peak 2 years

Croup sex prevalence?

males

Croup symptoms in infants vs older children?

Barking cough → infants, Hoarseness → older children

Croup respiratory symptoms?

Rhinorrhea

Croup aggravating and relieving factors?

Aggravating → night, Relieving→ sit upright

Croup classic radiological sign?

X-ray → steeple sign

Croup management priority?

airway management

Croup steroid options (highlighted)?

Dexamethasone, Nebulized budesonide

Epiglottitis clinical urgency level?

Life-threatening

Epiglottitis common causative agents?

H. influenza, S. pneumonia, S. aureus

Epiglottitis reason for becoming uncommon?

H. influenza type B vaccine use

Epiglottitis classic symptoms?

High fever & Sore throat, Dyspnea