Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Condition | Presentation | Diagnosis | Management |
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π Otitis Media with Effusion | Clear/serous fluid, ear fullness, reduced hearing, usually painless | Fluid behind TM on otoscopy; tympanometry shows abnormal middle ear pressure | Often self-limiting; persistent β myringotomy with grommet insertion |
π₯ Acute Otitis Media with TM Rupture | Severe pain then relief with purulent discharge; fever; common in children | Otoscopy: perforated TM with pus; culture if recurrent | Oral Abx (amoxicillin), topical drops, monitor TM healing |
β»οΈ Chronic Suppurative Otitis Media | Persistent foul-smelling discharge, hearing loss, TM perforation | Otoscopy; CT if cholesteatoma suspected | Topical Abx, regular aural toilet, tympanoplasty/mastoidectomy if severe |
π Otitis Externa (Swimmerβs Ear) | Pain on pinna movement, canal swelling, watery/purulent discharge | Otoscopy: inflamed canal; swab if persistent | Topical Abx/steroid drops, aural toilet, avoid swimming until resolved |
π€ Sinusitis (Acute/Chronic) | Thick purulent discharge, facial pressure/pain, congestion, postnasal drip | Clinical; nasal endoscopy or CT if recurrent/chronic | Decongestants, saline irrigation, Abx if bacterial, nasal steroids if chronic |
π§ CSF Rhinorrhoea | Clear watery unilateral discharge, worse on bending; Hx trauma/surgery | Glucose test; Ξ²-2 transferrin (specific); CT/MRI for localisation | Neurosurgical repair, bed rest, avoid straining, prophylactic Abx |
πΈ Allergic Rhinitis | Clear watery discharge, sneezing, itchy nose/eyes, congestion; seasonal/triggered | Clinical; skin prick or IgE testing | Antihistamines, intranasal corticosteroids, allergen avoidance |
π Nasal Polyps | Persistent mucoid discharge, obstruction, reduced smell; often with asthma/chronic sinusitis | Nasal endoscopy; CT to assess extent | Intranasal steroids, surgical removal if obstructive/recurrent |