Your next step is to a assess the outer ear for

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