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PANCE Body Systems
  • Cardiovascular
    11%
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    9%
  • Gastrointestinal/Nutrition
    8%
  • Musculoskeletal
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    7%
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PANCE® is a registered trademark of the National Commission on Certification of Physician Assistants (NCCPA). This application is an independent study resource and is not affiliated with, sponsored by, or endorsed by the NCCPA.

For educational use only. Content is AI-generated, may contain errors, and is not medical advice — always verify against current primary sources and faculty guidance before clinical use.

Flashcards

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Card 1 of 6
DiseaseEyes/Ears/Nose/Throat

Acute Otitis Media

Recall: Pathophysiology · S/Sx · Gold Standard Dx · First-line Tx · Pearl

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DiseaseEyes/Ears/Nose/Throat

Acute Otitis Media

Pathophysiology
Eustachian tube dysfunction → middle-ear effusion → bacterial infection (S. pneumoniae, H. influenzae, M. catarrhalis).
S/Sx
Otalgia, fever, bulging/erythematous tympanic membrane with impaired mobility, hearing loss; common in children.
Gold Standard Dx
Pneumatic otoscopy: bulging TM with decreased mobility (clinical diagnosis).
First-line Tx
High-dose amoxicillin first-line; amoxicillin-clavulanate if recent antibiotics or treatment failure.

A bulging, immobile TM = AOM; high-dose amoxicillin is first-line in children.