fit but then calms easily as if nothing is bothering him. Your next step is to: A. Assess the outer ear for drainage. If present, notify the physician . B. Check his temperature. He may have spiked a fever. C. Assess the outer ear for drainage. If present, give Tylenol and know that the ears will now heal on their own. D. Change his diaper. Then, give Motrin and offer a sucrose pacifier. Myringotomy & Tympanostomy “Tubes” Outpatient surgery Swimming – cover ears!! Removal? – should fall out on own, remove in 2 years Ear infections – allow fluid to drain through ear without bursting membrane o Can preserve hearing Otitis Externa “Swimmer’s Ear” Infection and inflammation of the outer ear (canal) Very tender and painful Ear Canal may be very red Can be caused by swimming in dirty water or by water trapped in the ear canal for extended periods Treat with antibiotic drops Ok…so what do we give for treatment?! OM Risk Factors Second hand smoke Attending daycare Use of pacifier Lack of breastfeeding Gastroesophageal Reflux
Family History Down’s Syndrome Disorders of the Eye Conjunctivitis Blocked Tear Duct Eye Muscle Disorders Conjunctivitis Inflammation of the conjunctiva Can be viral, bacterial or allergic “Pink Eye ” is a bacterial infection commonly spread through dirty hands Bacterial conjunctivitis is highly contagious Treat with antibiotic drops Neonatal conjunctivitis can be contracted during vaginal delivery to a mother who has chlamydia or gonorrhea ( erythromycin is given immediately after birth to prevent this) Eye Muscle Disorders Stabismus = lazy Weakness of one or more eye muscles that leads to “wandering” or “lazy” eyes Eyes should be conjugate by 4-6 months of age Several Types: Esotropia: inward gaze Exotopia: outward gaze Hypertropia: upward gaze Hypotropia: downward gaze Can try patching the good eye to strengthen the weak muscle Surgical repair may be necessary
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- Spring '17