Station 19

Look at the image below and answer the following questions. 

What is viewed in the picture? (1 marks)

Microbiology pus swab

Give two likely causative organisms in the following conditions: a) Otitis media b) Bacterial otitis externa c) Fungal otitis externa d) Tonsillitis e) Supraglotitis (10 marks)

A) Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, and Streptococcus pyogenes

B) Pseudomonas Aeruginosa, S. Epidermidis, Staphylococcus. Aureus

C) Aspergillus, candida albicans. 

D) Streptococcus. Pyogenes, Staphylococcus Aureus, and Morexalla. Catarrhalis.

E) Haemophilus influenzae type B, Staphylococcus aureus, Streptococcus pyogenes, Streptococcus pneumoniae.

What is the most effective treatment regime for fungal otitis externa? (4 marks)

To treat this the following are required:

  • Extended course of antifungal drops
  • Regular aural toilet
  • Keep ears strictly dry
  • Send microbiology swabs and alter topical therapy as per sensitivities
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