Stepwise management of acute and chronic otitis media?

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Acute otitis media Oral broad-spectrum antibiotics Anti-inflammatory drugs CSOM Check alveolar damage in mastoid by xray and MRI If it is discharging send discharge for c&s Assess for loss of hearing Choose antibiotics as per culture report Subject to mastoidectomy or tympanoplasty as case may be

Thanx dr pushkar ji Bhomia
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NEED'S .. BS..ANTIBIOTICS WITH..NSAIDS AS PER REQUIREMENT .. EAR EXAMINATION WITH EXPERTS OPINION ..

Step1) Antibiotics orally Antibiotics + steroids ear drops Decongestant orally 2 nd step Mastoidectomy

Antibiotics orally,Amoxicillin as per the weight. NSAID orally. Medicine differ as per condition.

. High-dosage amoxicillin (80 to 90 mg per kg per day) is recommended as first-line therapy. EXPERTS OPINION.

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