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16068530
Otitis Media
Description
Mind Map on Otitis Media, created by Salma Moustafa on 11/19/2018.
Mind Map by
Salma Moustafa
, updated more than 1 year ago
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Created by
Salma Moustafa
about 7 years ago
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Resource summary
Otitis Media
Anatomy of the ear
mechanism of hearing
Sound waves enter to EAC , causing vibration to the TM and attached ossicles in middles ear:
Malleus attached to the center of TM & pulls the tensor tympani medially.
Stapedius ms pull the stapes outward against the oval window.
Set up waves in fluids of cochlea causing vibration of BM .
up-and-down movement of waves to be changed into in-and-out motion of the tectorial membrane.
Hair cells”steriocilia”> bend toward longer cells> excitation.
neurological pathway for hearing
Complications
Cholesteatoma
Is epidermal cyst of the middle ear and/or Temporal bone with a squamous epithelial lining.
progressive growth with erosion of surrounding bone due to pressure effects and osteoclast activation.
types
congenital
no infection
acquired
with infection
histologically
keratin
stratified squamous
fibrous/granulation tissue
Aural polyps
Benign proliferation of chronic inflammatory cells and granulation tissue that is usually lined with benign reactive epithelium.
histologically
Metaplastic squamous mucosa
cavernous thrombosis
lateral thrombosis
meningitis
abscess
empyema
causes
psuedomonas
moraxella
h influenzae
S. pneumoniae
one of the causes of discharge
other causes of discharge
purulent
mucoid
blood stained
serous
symptoms
pain
hearing loss
other causes of hearing loss
sensorineural
ageing
noise exposure
conductive
wax
scar
vertigo and dizziness
other causes
hypoglycemia
vestibular disease
anemia
alcohol
moiton sickness
Physical Examination
otoscopy
tympanic membrane red and bulging
auditory acuity
Rinne
Webber
Other Investigations
tympanogram
Ct
MRI
Treatment
amoxicillin
cefedmir
clindamycin
mastoidectomy
Media attachments
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Screen Shot 2018 11 19 At 9.50.25 Pm (binary/octet-stream)
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