Ear Conditions: Otitis Externa

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Clinical DescriptionThis is an inflammation of the skin lining the external auditory canal. May be a furuncle or diffuse.

Clinical Features

SYMPTOMS AND SIGNS:

  • Ear pain
  • Itchiness
  • Mild hearing loss

INVESTIGATIONS

  • Ear swab for culture and sensitivity  

Treatment

PHARMACOLOGICAL

A. Furuncle

  • Give Amoxicillin 50 mg/kg in 3 divided doses for 5 days.
  • Give Analgesia

Alternatively:

  • Give Flucloxacillin 500mg 6 hourly for 5 days
  • Make a wick of ribbon gauze impregnated with Hydrocortisone or Betamethasone cream and gently insert in the ear for 2 to 3 days. 

B. DIFFUSE OTITIS EXTERNA

  • Dry Mop Ear 
  • Give Analgesia when necessary
  • Give Ciprofloxacin ear drops 6 hourly for 5 days