Chronic Suppurative Otitis Media

pdf link https://drive.google.com/file/d/1uT_o... 0:00 CSOM 11:30 Complications 13:18 Acute Mastoiditis 22:40 Final MCQs نوتس مهمة من درس الexternal ear عشان لو حد الكومنت مبيظهرش كامل عنده: 🛑 Localized otitis externa (furunculosis): 1) caused by staph 2) occurs only in outer third of External auditory canal 3) Diabetes is a predisposing factor 4) its discharge is scanty , purulent & cheesy (we can use mnemonic "Franc is a virulent guy" to remember it) 5) patient comes with tender tragus & pain on mastication 6) No ear wash as it spreads the infection 🛑 Malignant otitis externa: 1) causative organism is pseudomonas 2) there is necrotizing otitis externa + skull base osteomyelitis 3) Treatment by Quinolones as Ciprofloxacin 🛑 Fungal otitis externa (otomycosis) 1) caused by Aspergillus Niger + Candida albicans 2) it causes fungal mass like a wet newspaper (white mass + black spots) 3) Diabetes can also be a predisposing factor 🛑Ear wash is contraindicated in: 1) perforation 2) vegetable foreign body in EAC 3) otitis externa (bacterial / viral) 🛑Manifestations of tympanic membrane rupture during ear wash: 1) sudden pain 2) bleeding 3) deafness + tinnitus 4) Fluid trickling in the throat