Beruflich Dokumente
Kultur Dokumente
Lawrence Pike
Definition
Uncommon in adults.
Symptoms
Pain
Usual onset at night and severe for 12 hrs, then settles
and niggles for 3-5 days
Discharge can occur (and often relieves pain)
Fever, vomiting and loss of appetite may occur,
especially in young children.
Occasionally tinnitus, voice resonance, giddiness
and sickness occur.
Irritability may be the only indication in infants.
Hearing loss occurs if accumulation of fluid has
taken place.
Signs
Passive smoker
Male
Family history of otitis media.
In day care
On formula feed
Differential Diagnosis
Simple analgesia
Paracetamol
Ibuprofen (some evidence superior)
There are no published controlled
trials to support the use of
antihistamine and decongestant
preparations.
Antibiotic Treatment (if
chosen)
Children and Adults
Amoxycillin limited to three days [SMAC 1998]