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PANCEยฎ 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 โ€” always verify against current primary sources and faculty guidance before clinical use.

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Flashcards

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Card 1 of 6
DiseaseEyes/Ears/Nose/Throat

Acute Otitis Media

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

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DiseaseEyes/Ears/Nose/Throat

Acute Otitis Media

Pathophysiology
Eustachian tube dysfunction โ†’ middle-ear effusion โ†’ 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
Clinical (no gold standard): moderateโ€“severe TM bulging or new otorrhea; confirm effusion by pneumatic otoscopy (โ†“ mobility).
First-line Tx
High-dose amoxicillin; amoxicillin-clavulanate if amoxicillin in the past 30 days, purulent conjunctivitis, or recurrent AOM unresponsive to amoxicillin. Observation is an option in nonsevere cases.

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