Acute Otitis Media with Mastoiditis Case Study

Acute Otitis Media with Mastoiditis Case Study essay assignment

Objectives
1. Explain the risk factors, symptoms, etiology, progression, diagnosis, treatment and prognosis.
2. Demonstrate the ability to access and critically evaluate information from a wide variety of sources (such as Library databases and internet sources).
Read the case presentation and answer the questions that follow. The Case Study Rubric will be used to assess your work. The Case Study rubric lists the criteria for each question (required resources, word counts and citation requirements).

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Case Presentation
23-month-old female, Lucy, presents to the emergency department with five days of fever, cheek swelling, and not allowing family to touch her face or ears. She was seen three days prior with complaints of fever and left ear pain. Her left tympanic membrane (TM) was obscured by cerumen. Her right TM appeared normal, she looked well, was afebrile and had symptoms for less than 48 hours, so she was not prescribed antibiotics.

During her second visit she has normal vitals, but has noted bilateral mastoid erythema, bilateral anterior ear protuberance, and purulent discharge in her external auditory canals. Lucy underwent a CT scan, which showed bilateral otitis media and bilateral mastoiditis. No inflammation of the bone or periosteum was noted on the CT.

Antibiotics were prescribed for two weeks. The attending physician referred
Lucy’s parents to an ENT for follow-up and and possible bilateral myringotomy.

Photo: Emergency Physician’s
Monthly [Bilateral Mastoiditis]. (n.d.). Retrieved July 8, 2018, from http://epmonthly.com/article/acute-mastoiditis/
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Questions
1. Define the bold words.
2. Describe the cause of otitis media. Explain how otitis media can lead to mastoiditis.
3. Compare the causes, signs and symptoms, diagnosis and treatment of otitis interna, otitis media and otitis externa.
4. Lucy’s parents needs to be educated on the treatment for otitis media disease. Explain the treatment using terms that Lucy’s parents can understand. At minimum this should include any at-home-care, over the counter medications, prescriptions, alternative or complementary care.
5. Explain the prognosis of the disease to Lucy’s parents.

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Acute Otitis Media with Mastoiditis Case Study