doc4mindia
Forum Guru
Topics: 134
Posts: 243
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H/O otitis media few days back ---noncompliance with meds or not treated well.Now pt presents with bulging tymp memb or ruptured tymp membr with pain on pulling pinna ,laterally displaced pinna and a fluctauing mass above or on side of pinna .
best initial diagnostc test is; xray mastiod
next best step in managemant after xray/ statrt i/v A/B as it can lead to meningitis.
most accurate diagnostic test is: tympanocentesis and C/S.
Most accurate radiological test is ct or mri to se the extent of involvement (so that surgical debridement and mastoidectomy can b done)
Which org involved?SMH (step pneum,morexalla,heam inf) so pencilin is good ,if prev given then add clauvulanate.
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| tess
Forum Guru
Topics: 131
Posts: 368
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Hi, doc4minda, what is the first choice of A/B :?:
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