Question

Pediatrics Case study 1

William is a 2 and a half-year-old boy. his parents ask for an antibiotic prescription right away. Williams mom is sure that he has an ear infection. According to her, the last time he had these symptoms he was diagnosed with an ear infection.

William's parents tell you that he complains of right ear pain. He has not had any ear discharge. His symptom s started yesterday afternoon, and this morning his rectal temperature was 38.5 degrees C or 101.3 F. last week Willia suffered from a mild upper respiratory tract infection which he caught from daycare. He has not had any diarrhea or vomiting.

What other history questions do you want to ask?

what assessments do you want to make?

What are risk factors for otitis media? Which are modifiable and which are non- modifiable?

At what age os otitis media most common?

What is the expected finding on an exam?

What is the most pathogen?

what is the first line of treatment?

What is the second line of treatment?

Answer 1

Answer: The ear infection may also cause the tingling in the ear. The intervention should be done as the child has any vertigo or fall hsitory. It should be inquired about that does he travelled or someone smokes at home etc. The medications given for the mild upper respiratory tract infection may be the reason of the ear pain. The child is attending the day car which contributes in the ear infection.

Otitis media is a painful ear infection which generally occurs when the area behind the eardrum called becomes inflamed and infected. The infants and the child are mainly at the risk of the otitis media. The baby between 6 and 36 months old, attending daycare and experiencing changes in climate are at high risk. The doctor uses an otoscope to check the child's ear to detect any bleeding, pus, swelling etc. The first line of treatment that may be given is the ear drops and the medication to relieve pain. The second line of treatment is the surgery, as it is done in the severe case such as if they are enlarged or infected and child has recurrent ear infections then child’s adenoids is surgically removed.