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Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
Do You See What I See? Identifying and Treating Otitis Media, Otitis Externa and Eustachian Tube Dysfunction Link for CME Credit Coming Soon In this episode, host Holly Wayment talks to Dr. Marisa Earley, division chief and associate professor at UT Health San Antonio's division of pediatric Otolaryngology, and Pediatric ENT and University Health, as she shares valuable insights for pediatricians on the front lines helping children with ear infections. Dr. Earley draws on her rich background and experience to discuss the complex interplay between gastrointestinal and airway systems in children, and her pioneering efforts in establishing San Antonio's first aerodigestive clinic. This clinic offers comprehensive care for children with complex swallowing and breathing disorders. The conversation delves into ear infections and management strategies, particularly for pediatric practitioners. Dr. Earley offers practical advice on antibiotic stewardship, emphasizing watchful waiting over immediate prescriptions for children older than two, and the importance of managing eustachian tube dysfunction. Listeners will hear tips on differentiating between Otitis Externa and Media, the significance of pneumatic otoscopy, and advice to give parents managing their child's symptoms. This is part one in our two part ENT Update series.
This month we welcome back Dr Meng Siak to talk about chronic ear infections. Topics discussed include: Why do ear infections become chronic? Common predisposing factors for chronic otitis externa. Primary causes that can result in recurrent ear infections. Dr Meng explains how some conditions can result in otitis media. Why do some infections become resistant to antibiotics? Secondary causes of chronic otitis externa. Dr Siak discusses how he would approach acute cases differently to chronic cases. Recommendations on the best way to perform ear flushes. The importance of yearly maintenance plans. Meng talks about permanent side effects of recurrent ear infections. Ear canal ablations as part of managing difficult cases. See omnystudio.com/listener for privacy information.
GPs commonly see patients who are experiencing hearing loss, ear pain or inflammation, or who can hear sounds with no external cause (tinnitus). In this episode the MIMS learning editors focus on how to eliminate red flags, how to address causes of hearing loss, manage acute otitis externa, and support patients with tinnitus.After listening to this podcast, healthcare professionals should be more aware of:How hearing loss is linked to the risk of dementiaThe Brighton grading scheme for classifying acute otitis externa, and how it is treatedSigns and symptoms of necrotising otitis externaRed flag symptoms in hearing lossPresentations of tinnitus, and what it can sound likeManagement options for tinnitusYou can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Further support for people with tinnitus can be found from the Tinnitus UK online chat or helpline on 0800 018 0527.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.Useful linksResources from MIMS LearningPrimary care research briefing July 2024 Otitis externa clinical reviewENT emergenciesHearing loss - red flag symptomsTinnitus - red flag symptomsMIMS LearningRegister for a free healthcare professional account Hosted on Acast. See acast.com/privacy for more information.
Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
Ear Infections Part Two: Otitis Externa Link for CME Credit Coming soon Welcome to "Pediatrics Now" brought to you by the Department of Pediatrics, with host and executive producer. Holly Wayment. In this episode, we delve into Otitis Externa with expert insights from Dr. Erica Sher and Dr. Nadine Haykal , pediatric ENT specialists from University Health and the University of Texas Health Science Center at San Antonio.
In this episode, Tracey Davidoff, MD and Joe Toscano, MD discuss the August 2024 Evidence-Based Urgent Care article, Diagnosis and Management of Acute Otitis Media and Acute Otitis Externa for the Urgent Care ClinicianIntroduction to Acute Otitis Media and Externa in Urgent CareAnatomy and Pathophysiology of Ear ConditionsDiagnosis and Epidemiology of Otitis MediaComplications and Pathogens of Otitis MediaUnderstanding Otitis ExternaDifferential Diagnosis for Ear PainPhysical Examination and Diagnostic ToolsTreatment and Disposition for Acute Otitis MediaWatch and Wait Approach in ChildrenAntibiotic Selection and DosageConjunctivitis Otitis SyndromePenicillin Allergies and AlternativesOtitis Externa: Treatment and DispositionSpecial Populations and ComplicationsKey Points and PearlsConclusion
We know Otitis Externa is caused by more than just bacteria and fungi, but It's summertime and visits into the clinic for swimmer's ears are in full effect. So, let's get you prepared with the most common presentation. Stay tuned. ¡Vamos! Let's go! A 7 year old boy that's been doing lot's of swimming at his grandma's house comes into the clinic with the complaint of right ear pain. No fever, no preceding symptoms of an upper respiratory infection, otherwise doing great. Your child's ear canal is red, swollen and full of white discharge. El canal auditivo de tu hijo está rojo, hinchado y lleno de secreción blanca. This is an otitis externa, most likely caused by bacteria growing in the ear canal secondary to water getting trapped in the ear from swimming. Es una otitis externa, probablemente por una bacteria que creció a causa del agua atrapado en el oído, siguiendo la natación. I'm going to prescribe antibiotic ear drops. Le voy a recetar gotas de antibiótico para el oído. Be sure to keep the ears dry during the duration of treatment. Asegúrate de mantener el oído seco durante el tratamiento. Return to the clinic if not improved in 48 hours and we will send out a culture to rule out a fungal infection. Regresa a la clínica si no hay mejoría en cuarenta y ocho horas y mandamos un cultivo para asegurar que no es infección de hongo. ¡Hasta Luego! CLICK HERE for the Extended Lesson: Lead, part 2 Disclaimer: this program is not meant to teach medicine or give medical advice, if you or someone you know is in need of medical care, please visit your assigned medical provider.
In this episode, we review the high-yield topic of Otitis Externa from the Ear, Nose, & Throat section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
Otitis externa is a common condition in dogs and cats and one requiring much veterinary input to treat and manage. To share some of her thoughts on the disorder, European veterinary dermatology specialist Irina Matricoti joins the Vet Times Podcast.
This podcast is earresistible. Let's chat about this classic, nasty HEENT infection. There are only 3 major key points you need to know for this one so let's crush it. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake; Husain, Ilitfat. 224. Malignant Otitis Externa. May 28th, 2024. Accessed [date].
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net. Today on the emDOCs cast with Brit Long, MD (@long_brit), we look at malignant otitis externa. Andrew is a world-renowned leader in decision making and trauma. He is currently an EM attending physician, assistant professor at St. Michael's Hospital, University of Toronto.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
How long do you think you'd last when the SHTF if you can't hear the zombies sneaking up on you muttering something about tasty, tasty brains? The ear is the organ that controls, not only hearing, but balance as well. It's a rare parent who hasn't had to deal with ear problems at one point or another during their life. In some cases, It could be a chronic issue that makes an otherwise healthy child (or adult) miserable. Dr. Joe Alton discusses what the medic needs to know about ear problems off the grid. Plus, a question from a listener dealing with inflammatory bowel syndrome. Learn all about the condition and ways to diagnose and treat the condition. All this and more on the latest Survival Medicine Podcast with Dr.Joe Alton and Amy Alton. Wishing you the best of health in good times or bad, Joe Alton MD Hey, fill those holes in your medical storage with high-quality medical kits and supplies from our entire line at store.doomandbloom.net! (We also have otoscopes at a reasonable price!) You'll be glad you did.
Hablamos de la prevención de las infecciones de oído durante las vacaciones con nuestro Otorrinolaringólogo Yazdgard Barragán Tejeda.
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
In this podcast Dr. Cynthia Bauer will answer commonly asked questions about otitis externa cytology. Topics that will be addressed include: sample collection, sample preparation, cultures, and more. She will also discuss when cultures are indicated, and how to provide gold-standard care.
Otitis – whether externa, media or interna – is painful for the pet, and can be frustrating for their carers and vets. Offering some valuable information on this clinical presentation, Diana Ferreira joins us for episode 66 of the Vet Times Podcast. ____________________ Diana Ferreira, DVM, MSc, MRCVS, Dipl ECVD, graduated in 2010 from the University of Lisbon Faculty of Veterinary Medicine. In 2012 she started a three-year residency programme in veterinary dermatology at the Autonomous University of Barcelona Clinical Veterinary Hospital. Dr Ferreira obtained a European College of Veterinary Dermatology diploma in 2016 and joined the AHT the same year. Diana now works as a veterinary dermatologist at the One Vet Group in Portugal.
This episode covers otitis externa.Written notes can be found at https://zerotofinals.com/surgery/ent/otitisexterna/ or in the ear, nose and throat section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.
Proliferative and Necrotizing Otitis Externa (PNOE) is a rare autoimmune disease that can affect young cats. Once you see a picture of this disease, you won't forget it! Learn about the clinical apperance and treatment options available for this crusty disease.
In this episode, we review the high-yield topic of Otitis Externa from the Ear, Nose, Throat section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
“Hay que secar los oídos con preparados de farmacia o secador, jamás con palitos”, señala el jefe de servicio de Otorrinolaringología de IMED Valencia
Una revisión sobre causas, síntomas y qué hacer en caso de las otitis externas en los niños
In this month's EM Quick Hits podcast: Justin Morgenstern on the evidence for NG tubes in SBO, Jesse MacLaren on recognition of hyperacute T-waves vs other causes of tall T-waves, Brit Long on malignant otitis externa clinical pearls, Salim Rezaie on the value of CCTA in NSTEMI, Justin Morgenstern on the value of CCTA in low-risk chest pain, Hans Rosenberg on how to use the Canadian Syncope Score and it's validation in Canada... The post EM Quick Hits 31 NG Tubes in SBO, Hyperacute T-Waves, Malignant Otitis Externa, CCTA in NSTEMI and Low-risk Chest Pain, Canadian Syncope Score appeared first on Emergency Medicine Cases.
ENT specialist Dr Michael Rinaldi gives a great discussion about external canal ear issues for swimmers and recreational athletes. This unfortunate yet common infection effects many athletes and their families! He also give advise on how to prevent the problem! --- Support this podcast: https://anchor.fm/steven-donchey/support
¡Bienvenido Galeno! ⚕ Te invito a que visites mi https://linktr.ee/dra.espinoza para tener acceso a mayor contenido bibliográfico y te sea de mayor utilidad. ¡ÉXITO EN TODO!
This podcast has been brought to you by Neptra – the only single-dose, vet-administered treatment available for acute otitis externa in dogs. Launched in 2020, Neptra is available to vets in the UK and is the number one selling treatment for acute otitis externa in the US, under the name Claro. In this episode, we speak to Kathryn Cuddy, an RCVS advanced practitioner in veterinary dermatology, on the subject of otitis externa, and particularly how it can affect the behaviour of a dog, making it difficult and even dangerous for owners to treat themselves at home. If you see otitis cases regularly in practice, there may be many owners thanking you tuning in. Kathryn Cuddy, MVB, CertAVP(VD), MRCVS, graduated from University College Dublin in 2011. She spent four years working in small animal practice in the UK before returning home to Ireland in 2015. Kathryn has always had a special interest in veterinary dermatology, and began further study in dermatology with the University of Liverpool in 2013. In 2016, she achieved her certificate in advanced veterinary practice in veterinary dermatology from the RCVS. Kathryn is an active member of the European Society of Veterinary Dermatology and the British Veterinary Dermatology Study Group. In 2016, Kathryn established Skinvet Ireland, a dedicated dermatology referral clinic for pets in Ireland, based in Midleton, County Cork. SPONSORED BY NEPTRA Neptra ear solution for dogs is a first-line innovation from Elanco Animal Health – providing anti-inflammatory, anti-fungal and anti-bacterial activity for everyday otitis externa cases with just one dose. The product is available for UK veterinarians to prescribe for their first-line, first-time otitis externa (OE) cases. It provides lasting efficacy, showing continuous clinical improvement until day 28 with just one dose. Neptra's unique combination of three active ingredients is proven effective against mixed infections of susceptible strains of bacterial (Staphylococcus pseudintermedius) and fungal (Malassezia pachydermatis) pathogens associated with 70%-80% of acute canine OE cases. A single, 1ml dose in each affected ear treats dogs of all sizes and breeds. Avoiding the need for home treatments, Neptra brings vets full control over treatment compliance and eliminates the uncertainty and stress of daily client administration. That is a relief for everyone! To enquire about stocking Neptra, contact your local Elanco territory business manager. Use Medicines Responsibly. https://www.myelanco.co.uk/brand/neptra 1. Oliveira LC et al (2008). Can Vet J 49(8): 785–788. Use Medicines Responsibly (www.noah.co.uk/responsible) Neptra contains 16.7 mg florfenicol, 16.7 mg terbinafine hydrochloride equivalent to terbinafine base: 14.9 mg, and 2.2 mg mometasone furoate POM-V For further information call Elanco Animal Health on +44(0)1256 353131 or write to: Elanco UK AH Limited, Form 2, Bartley Way, Bartley Wood Business Park, Hook, RG27 9XA, United Kingdom. For further information, consult the product SPC. Neptra, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates. PM-UK-21-0298. Date of preparation: 03/21
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
In this podcast, learn how to properly work up cases of otitis externa in dogs, and how long-lasting products such as osurnia can help.
On this episode, we discuss both otitis externa and otitis media. Review some basic background about both. Then we compare and contrast the treatment options for both types of infection. We also list some caveats that would lead to using alternative treatment options instead of first-line medications. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable Power Point slides for each lecture. You can find our account at the website below: www.patreon.com/corconsultrx If you have any questions for Cole or me, reach out to us on any of the following: Text - 415-943-6116 Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx This podcast reviews current evidence-based medicine and pharmacy treatment options. This podcast is intended to be used for educational purposes only and is intended for healthcare professionals and students. This podcast is not for patients and not intended as advice or treatment.
In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR... The post EM Quick Hits 24 Lateral Canthotomy, Cannabis Poisoning, Hyperthermia, Malignant Otitis Externa, BBB in Occlusion MI, Prone CPR appeared first on Emergency Medicine Cases.
Joining Ben in for today's WCVD9 special episode of VetChat is Dr Ken Kwochka, the president of the World Association of Veterinary Dermatology and Elanco Technical Marketing Director in the USA. Ben and Ken will be chatting about the subject of otitis externa and why he's excited about the potential of Neptra to revolutionise the management of canine otitis externa. Find out more about WCVD9 and visit the Neptra stand at the Virtual Exhibition here: https://wcvd-9.com/
Drs. Pescatore and Raja talk about using vasopressorsin patients with septic shock and antimicrobial therapy for otitis externa.
This episode covers otitis externa!
Join us with Dr Sue Paterson, senior-vice president of the European Society of Veterinary Dermatology and former BSAVA president, as she discusses the subject of otitis externa, and particularly focuses on how lockdown may have created an opportunity for vets to re-evaluate treatment for this common and frustrating condition. Do you regularly see OE cases? Yes? Well this is a podcast for you. This podcast has been brought to you by Neptra – the only single dose, vet-administered treatment available for acute otitis externa in dogs, produced by Elanco UK. Neptra is available to vets in the UK after becoming the number one selling treatment for acute otitis externa in the US under the name Claro. To enquire about stocking Neptra, contact your local Elanco veterinary business manager.
Otitis externa รักษาเท่าไหร่ก็ไม่หาย มารับฟัง VPN Podcast ตอน เคล็ดไม่ลับในการรักษา Otitis Externa กับ สพ.ญ.เลอเพ็ญ ดวงแก้ว . รับฟังแบบสด ๆ พร้อมรับ CE 1 คะแนน ในวันอังคารที่ 28 ก.ค. 2563 เวลา 19.00 น. ที่ Facebook LIVE
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
Dr. Debera Butler, DVM, discusses canine ear health, including a disease overview of Otitis Externa, clinical signs, diagnostics, therapies, and treatment with Posatex ® Otic Suspension.
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
Dr. Debera Butler, DVM, discusses canine ear health, including a disease overview of Otitis Externa, clinical signs, diagnostics, therapies, and treatment with Mometamax ® Otic Suspension.
Few days pass without vets seeing a case of ear disease. Veterinary dermatology specialist Ariane Neuber joins us to discuss otitis externa, including causes, cytology, therapy and products. – Ariane Neuber, DrMedVet, CertVD, DipECVD, MRCVS, has many years’ experience in referral dermatology. After an internship at the AHT, she completed a three-year residency at The University of Edinburgh Royal (Dick) School of Veterinary Studies and gained a Certificate in Veterinary Dermatology (CertVD), and European College of Veterinary Dermatology diploma and RCVS specialist status as a result. Having provided a dermatology service for a number of large referral centres, and building a successful independent referral service in the south east of the UK, she moved to Germany in 2018. She is currently working in her own, independent dermatology-only practice, Hund Katze Haut, near Bonn. She is also the scientific programme coordinator for the British Veterinary Dermatology Study Group, secretary of the ECVD board, meetings organiser for the DGVD (Germany veterinary dermatology study group) and former examiner for the CertVD. This podcast is supplemented by the article “Otitis externa - successful management and diagnostics”, published in Vet Times Volume 50 Issue 13 (24 March 2020 issue). It will be available online at www.vettimes.co.uk *
Also called swimmer's ear.
In this episode, host Beckie Mossor, RVT, is joined by Erin Aufox, DVM, to talk about her recent Clinician’s Brief article, “Top 5 Keys to Successful Management of Otitis Externa.” In addition to indications for treatment, Dr. Aufox explains how best to determine if medical or surgical management is more appropriate. She also addresses the differences of otitis in dogs and cats. Before signing off, Dr. Aufox discusses topical and/or oral steroid treatments to manage patient discomfort in stenotic ear canals. Resources discussed in this episode: https://www.cliniciansbrief.com/article/top-5-keys-successful-management-otitis-externa Contact us: Podcast@briefmedia.com Where to find us: Cliniciansbrief.com/podcasts Facebook.com/clinciansbrief Twitter: @cliniciansbrief Instagram: @clinicians.brief The Team: Beckie Mossor, RVT - Host Alexis Ussery - Producer & Digital Content Coordinator Randall Stupka - Podcast Production & Sound Editing Michelle Munkres - Senior Director of Content
Dr Linda Vogelnest is one of Sydney's most recognised veterinary dermatologists, having taught and practiced at Sydney University for many years before moving to the Small Animal Specialist Hospital (SASH). In this episode, we discuss Linda's approach to the cases she sees in practice; focusing on otitis externa. Linda is a firm believer in the power of patience and persistence when managing dermatology cases. Topics discussed include the diagnostic tools she reaches for, how she phases treatments depending on response and the importance of measuring the amount of medicated drops for successful infection control. We also discuss her thoughts on choosing ear products in cases of unknown tympanic membrane integrity, why she often doesn't recommend ear cleaners and how she manages chronic cases. You can find more information about SASH, where Linda practices, via info@sashvets.com or at https://sashvets.com/.
Swimmers Ear -Otitis Externa-Diagnosis-Treatment- Prevention Otitis Externa aka swimmers ear is a very common illness in the summer. We discuss how to diagnose and treat this seasonal illness. Please subscribe on iTunes, Google play, and Stitcher. Also check out the website at urgentcarebasics.com Hope you enjoy.
With summer pool season in full swing allow me to freestyle a little on a common topic that many Emergency Departments and Urgent Cares seem to be swimming in every summer. This episode of PEM Currents dives right into Otitis Externa – AKA Swimmer’s Ear and reviews diagnosis and treatment. If you were treading water […]
This podcast will cover AOM and Otitis Externa with etiology, diagnosis, and management! Disclaimer: The information presented in this blog is is for educational and informational purposes only. It should not be construed as medical advice; this is general information and is not patient specific. The information is not guaranteed to be correct, complete, or current. Credit to bensound.com for intro/exit music! I referred to pediatric care online and UpToDate for content.
Today Brian makes sure that the sound is okay as we are back in the studio talking to Anke Hendricks, senior lecturer and one of our dermatology team here at the RVC. We cover Anke’s approach to ears for the first line therapy and when to step it up. You need to start using your microscope more, if you don't already. We hope that you enjoy. Some of the literature, there was a whole In Practice focus on otitis in 2016 (http://inpractice.bmj.com/content/38/Suppl_2) some pointers for all. https://www.ncbi.nlm.nih.gov/pubmed/29374119 http://inpractice.bmj.com/content/38/Suppl_2/1 http://inpractice.bmj.com/content/38/Suppl_2/2 http://inpractice.bmj.com/content/38/Suppl_2/17 http://inpractice.bmj.com/content/18/1/9 http://inpractice.bmj.com/content/34/7/392 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.
Today Brian makes sure that the sound is ok as we are back in the studio talking to Anke Hendricks, senior lecturer and one of our dermatology team here at the RVC. We cover Anke’s approach to ears for the first line therapy and when to step it up. You need to start using your microscope more, if you don't already. We hope that you enjoy. Some of the literature, there was a whole In Practice focus on otitis in 2016 (http://inpractice.bmj.com/content/38/Suppl_2) some pointers for all. https://www.ncbi.nlm.nih.gov/pubmed/29374119 http://inpractice.bmj.com/content/38/Suppl_2/1 http://inpractice.bmj.com/content/38/Suppl_2/2 http://inpractice.bmj.com/content/38/Suppl_2/17 http://inpractice.bmj.com/content/18/1/9 http://inpractice.bmj.com/content/34/7/392 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.
PREVENIR ES CURAR, CONOCER ES AMAR.. asi que GRACIAS al DR. VELASCO, y SOC.ARG. DERMATOLOGIA,por colaborar siempre con ESPERANZA ARGENTINA Y GLOBAL.. porque la PREVENCIÓN TIENE QUE VER CON LA EDUCACIÓN PARA LA SALUD.. Y ESTAR SANOS, no sólo es ausencia de enfermedad, sino ESTADO DE DICHA Y BIENESTAR INTEGRAL.. GRACIAS.. MARISAPATIÑO.EmbajadoradePaz/CEO.www.esperanzaargntina.com.ar
Q&A from Mary's talk at the Veterinary Evidence Today conference, Edinburgh November 2nd, 2016. Read more here.
In this talk, from the Veterinary Evidence Today conference 2016, Mary Fraser discusses the variety of different medications that can be used in the treatment of Malasseziaotitis externa and the need for a greater number of robust clinical trials. Read more here. Veterinary Evidence TodayEdinburgh, 1-3 November 2016
This week we are joined by 4th year University of Ottawa student Zuhaib Mir who will be discussing Otitis Externa. After this podcast you will be able to: Discuss the relevant anatomy and pathophysiology of Otitis Externa Understand the risk factors associated Describe the clinical presentation and diagnosis Review Differential diagnosis Recommend treatment for Acute Otitis Media, including when you should refer to OHNS Outline possible complications and reasons for referral
Succes I Veterinær Praksis Podcast - Sammen om at blive bedre
Se noter, billeder og links på sivp.dk/8 Denne gang har jeg en meget praktisk og konkret podcast til dig. Rikke siger, at det kan være svært at nå det hele i en konsultationog har nogle konkrete råd til, hvordan du kan strukturere konsultation og kontrol, så du alligevel kan nå det. - Aftal altid en tid til kontrol inden klienten går - Vælg de relevante informationer ud, så klienten kan huske det mest relevante lige nu, og du får mulighed for at forklare alle detaljer. - Aftal et samarbejde med sygeplejersken, så hun farver præparatet, mens du snakker færdig. - Brug kun ét objektglas og lav kun én stribe ørevoks fra hvert øre Undersøgelsen Lav først en klassik klinisk undersøgelse med fokus på huden. Se i poter, under forben, på maven og under halen. Du kan også lave en udførlig neurologisk undersøgelse, men notér dig som minimum: Hoved- og ansigtssymmetri, pupilstørrelsen, blinkhinden og menace-respons. Rikke har desuden en vigtig pointe: Bemærk også om hunden kan høre. Palpér desuden øregangen udenpå for at vurdere, hvor meget ødem, fibrose og/eller kalcifikation der er i området. Huden i øregangen skal være lyserød og glinsende med en glat vinklet tragt. Den vertikale kanal har en bredere diameter end den horisontale. Trommehinden skal være intakt og gennemsigtig, men kan være skjult hvis øregangen er hævet, stenotisk eller fyldt med indhold. Vær forsigtig ved otoskopien og få en øvet holders hjælp fra starten. Hvis du først har ramt noget forkert, kan undersøgelsen være slut, før du kommer i gang. Notér dig også hvor mange hår, der er i øregangen. Manglende hår i et ulcereret øre kan skyldes keratin-nedbrydende enzymer dannet af gram-negative stave. Vurdér også lugt og udseende af ørevoksen. - Mørkt, brunt eksudat og tyk, tør voks: Normalt, men ses også ved lavgradige eller afsluttende øremideinfektioner - Lysebrunt eksudat og moderat voks, eventuelt med surt lugt: Malassezia-infektion er sansynlig - Gulligt eksudat og mildt purulent voks: Staphylokok-infektion er sandsynlig - Grønt eksudat og purulent, eventuelt blødende mukus: Gram-negative rods som Pseudomonas eller Proteus sandsynlig Cytologi Det er en god ide at lave cytologi på alle dine øre-patienter, mener Rikke. Det godt af flere årsager: - Det tager gætværket ud af din tilgang og behandling - Du vil finde flere patienter, der har brug for mere omfattende hjælp tidligere i forløbet - Den overvågning af fremgangen er mere præcis - Der bliver reel og fornuftig grund til en kontrol, selvom ”øret jo ser pænt ud”, så du får fulgt frustrerende patienter til dørs Tag en almindelig vatpind og rul en stribe ørevoks fra hvert øre. Rul striben fra venstre øre på venstre side af objektglasset og striben fra højre på højre side. Du får den mest repræsentative prøve fra bunden af den vertikale øregang. Varm glasset ved at holde en lighter under indtil glasset føles varmt. Farv præparatet med din normale præparat-farve og kig på det med stærk forstørrelse (60x or 100x olie-immersion). Rikke guidelines er, at der er indikation for behandling, hvis du finder mere end: 3 stk Malassezia-svampe eller 5 Kokke-formede bakterier eller 1 Stavbakterie Du må desuden ikke kunne finde neutrofile eller DNA-strenge fra neutrofile i præparatet. Kan du det, er det også indikation for behandling. >> https://succesivetpraksis.dk/podcast/otitis-externa-effektiv-identifikation/
This podcast highlights an updated Clinical Practice Guideline on Acute Otitis Externa (swimmer's ear) appearing as a February 2014 supplement in Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard Rosenfeld is joined by authors Geoffrey Simon, a pediatrician, and Kaparaboyna (Ashok) Kumar, a family physician, in discussing implications for primary care clinicians and how to optimize interaction with specialists. Click here to read the full article.
This podcast highlights an updated Clinical Practice Guideline on Acute Otitis Externa (swimmer's ear) appearing as a February 2014 supplement in Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard Rosenfeld is joined by authors Peter Roland, an otologist, and William Huang, a dermatologist, in discussing the key quality improvement recommendations in the guideline. Click here to read the full article.
Tierärztliche Fakultät - Digitale Hochschulschriften der LMU - Teil 06/07
Sat, 20 Jul 2013 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/16130/ https://edoc.ub.uni-muenchen.de/16130/1/Bouassiba_Cosima.pdf Bouass
Tierärztliche Fakultät - Digitale Hochschulschriften der LMU - Teil 04/07
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