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Case Report:

For the Candidate. Case Report:

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Case Report:

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  1. For the Candidate Case Report: A mother comes with her 14 months daughter to the ENT-Specialist. The baby presents with left retro-auricular redness and fever (39.2 C) of 24 hours duration. She has had an upper airway respiratory infection one week ago. There was no ear drainage, however, she has had purulent nasal drainage. Patients Foto of the retroauricular region Otoscopic Picture Question 1: a) What do you see on the pictures? b) What is your first diagnosis? c) Do you have further questions? d) What is your next step?

  2. For the Examiner Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens) • a. Most common complication is mastoiditis, which may progress toSubperiosteal abscess • Bezold abscess—abscess in digastric groove of SCM • b. Petrous apicitis • 1, Gradenigo syndrome--otorrhea, retro-orbital pain, and lateral rectus palsy secondary to irritation of CN VI within Dorello canal • c. Facial Nerve paralysis: • perform myringotomy, culture, and administer antibiotics • Residual middle ear effusion after treatment • 70% of patients at 2 weeks • 20% after 2 months • 10% after 3 months • 90% of middle ear effusions persistent after an episode of treated AOM resolve within 90 days

  3. 50% ?? Question 1: 20% a) What do you see on the pictures? b) What is your first diagnosis? c) Do you have further questions? d) What is your next step? Diagnosis: Acute otitis media with early mastoiditis Further Diagnostic procedures necessary? Plain-X-ray? CT of the temporal bones ? Question 2: Are further diagnostic procedures necessary? Question 3: Which complications of acute otitis media do you know? It was immediately done: in this case it showed cloudiness of the left mastoid without any destruction of the air cells Question 4: What Therapy would you consider? Acute otitis media (AOM) Causative organisms Streptococcus pneumoniae (40%) Haemophilus influenzae (30%) Moraxella catarrhalis (20%) Question 5: 30% What are the main causative organisms of AOM?

  4. WE HOPE TO SEE YOU IN VIENNA!!

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