Download - Otitis media cronica
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La otitis crónicaLa otitis crónica
Mucoperiostio
Mas de 3 meses
Irreversible
Secuelas
Mucoperiostio
Mas de 3 meses
Irreversible
Secuelas
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procesoproceso
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O.M.DSECUELASO.M.C.
SILENT O.M.
RESOLUCION
El continuum .Prof. Paparella
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??tratamientotratamiento
1
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DERRAMEDERRAME
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RETRACCION TIMPANICA
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PERFORACIONPERFORACION
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GRANULACIONGRANULACION
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EPIDERMIZACION =COLESTEATOMAEPIDERMIZACION =COLESTEATOMA
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COMPLICACIONCOMPLICACION
•mastoiditis•mastoiditis•paralisis facial•paralisis facial•infeccionendocraneana•infeccionendocraneana
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OTITIS MEDIAS CRONICAS
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• INFECCION
• AIRE (nariz y oido)
TRATAMIENTO
•RESTABLECER AUDICION
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EN TODAS LAS FORMAS DE OTITIS MEDIA CRONICA SUPURADA:
PSEUDOMONAS AERUGINOSA ESTAFILOCOCO AUREUS
PROTEUS, KLEBSIELLA, E.COLI ANAEROBIOS
2. IV. CEFTAZIDIME CON O SIN CLINDAMICINA
IM/IV GENTAMICINA O AMIKACINA CON O SIN CLINDAMICINA
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Radical timpanoplásticaFEELS o FEESAdenoidectomia en niños
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una complicación INTRATEMPORAL
una complicación INTRATEMPORAL
|
Juan,2 años, desnutrido,otitis a repetición,
Otalgia intensa, fiebre,mal estado gral.
Juan,2 años, desnutrido,otitis a repetición,
Otalgia intensa, fiebre,mal estado gral.
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•Dolor•Sindrome
toxo-infeccioso
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Miringotomia con laser : dura hasta 1 mes abierta
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Ceftriaxona IV
con o sin rifampicina
Clindamycina IV + rifampicin o ceftriaxone /vancomicina IV
Ampicillin/sulbacta IV + rifampin
Quinolonas respiratorias IV
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I.V. hasta que baje el edemaLuego oral hasta 30 dias
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José, 12 ahace años hipoacusia progresiva
rinosinusitis recurrente acufenos y algunas otalgias.
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El examen audiológico
HipoacusiaDe conducción O MIXTA
Timpanometriade derrame
En timpano perforado, No se puede hacer
timpanometria
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un año despues
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FIEBRECEFALEANAUSEASVOMITOS
RIGIDEZ DE NUCA
FIEBRECEFALEANAUSEASVOMITOS
RIGIDEZ DE NUCA
Complicaciónintracraneana
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Absceso cerebeloso:ATAXIA. TEMBLORAbsceso cerebeloso:ATAXIA. TEMBLOR
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EL DESAFIOEL DESAFIO
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todo es posible
todo es posible