Diagnosing acute otitis media: it's what you see, not what you hear.

Abstract:

:Diagnosing acute otitis media (AOM) is quite challenging for physicians and especially other healthcare providers. Although the new guidelines from the American Academy of Pediatrics/American Academy of Family Physicians provide some guidance for making the correct diagnosis of AOM, overdiagnosis will still remain a problem. Physicians should pay meticulous attention to details of the visual examination of the tympanic membrane to avoid misdiagnosing and subsequent overprescribing antibiotics. To optmize the diagnostic accuracy in differentiating AOM from otitis media with effusion (OME), physicians must ensure that otoscopes, curettes, nickel-cadmium otoscope batteries, original specula, and other instruments are well maintained and appropriately and properly used. Implementing these recommended practices can reduce the uncertainty that typically arises in diagnosing AOM. This paper also addresses questions that can arise when applying guideline criteria.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Block SL

doi

10.3810/pgm.12.2005.suppl42.215

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

32-3, 5-12

issue

6 Suppl Emerging

eissn

0032-5481

issn

1941-9260

journal_volume

118

pub_type

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