Clase otitis tres

INECCIONES RESPIRATORIAS ALTAS Otitis - faringitis - laringitis Dra. Patricia Ocampo Medicina Infantil – UNCO Hospital Cipolletti

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Otitis externa

Etiología ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cuadro clínico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2- OTITIS EXTERNA AGUDAS

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3- OTITIS EXTERNA Crónica

[object Object],[object Object],[object Object],[object Object],Subtipos de otitis externa

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CONCEPTOS

Estados evolutivos de otitis media OMEP OMA con contenido OMEC OME OMA OMAR MERINGITIS OMC OMCS OMCC OTITIS MEDIA OMC: Otitis media con exudado OMAR: otitis aguda media recurrente OME: Otitis media c/exudado persistente OMCS: Otitis media crónica OMEP : Otitis media c/exudado crónico OMEC : Otitis media crónico simple OMAR: Otitis media aguda OMCC: Otitis media crónica colesteatomatosa

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Factores predisponentes

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Etiología

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fisiopatogenia

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FORMAS EVOLUTIVAS

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OTITIS MEDIA AGUDAS- OMA

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OTITIS MEDIA AGUDAS- OMA

[object Object],[object Object],OTITIS MEDIA AGUDAS- OMA

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OMA con contenido

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MANIFESTACIONES CLINICAS-OMA

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnóstico

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Criterios diagnósticos

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OTOSCOPIA NORMAL

OTOSCOPIA La membrana timpánica en condiciones de normalidad

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OMA recurrente

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OMA en oído con perforación previa

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OMA Persistente o recaída verdadera

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],¿Cuando necesitamos el otorrinolaringologo?

[object Object],[object Object],[object Object],Factores de mal pronóstico evolutivo

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Complicaciones y secuelas

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO OMA leve-moderada

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO OMA severa

TRATAMIENTO OMA persistente o recurrente ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],TRATAMIENTO

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO

Fases evolutivas de la OME y objetivos de manejo Modificar factores de riesgo. Uso restrictivo de ATB, basado en la individualización del caso. Determinar potencial candidato a cirugía. OME recurrente Cirugía usualmente indicada (bilateral/unilateral) para prevenir déficits del habla, del lenguaje, del desarrollo o cognitivos. OME > 6 meses Evaluar la morbilidad (audiometría). Determinar potencial candidato a cirugía. Cirugía basado en la individualización del caso. OME 3 – 6 meses Modificar factores de riesgo. Uso restrictivo de ATB, basado en la individualización del caso OME < 3 meses Confirme el diagnóstico. Manejo basado en una buena estimación de la duración de la efusión. Educación familiar. OME de reciente diagnóstico OBJETIVOS DEL MANEJO FASES

Opciones quirúrgicas en OME Crónica No indicado para OME. Tonsilectomía Eficacia probada independientemente del tamaño Edad <4 años: indicación discutida. Adenoidectomía Probada eficacia en manejo de OME. Único método para recuperar definitivamente la audición en la hipoacusia conductiva. Diábolos Inefectiva en forma aislada. Útil con adenoidectomía. Miringotomía Comentario Opción

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prevención

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DEFINICION

[object Object],[object Object],[object Object],Epidemiología

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ETIOLOGIA

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CLINICA

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DIAGNOSTICOS DIFERENCIALES

[object Object],[object Object],[object Object],[object Object],[object Object],DIAGNOSTICOS DIFERENCIALES Faringoamigdalitis Bacteriana

[object Object],[object Object],[object Object],[object Object],DIAGNOSTICO

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Exámenes Complementarios

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Exámenes Complementarios

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRATAMIENTO

[object Object],[object Object],TRATAMIENTO FA SBHA

[object Object],[object Object],[object Object],[object Object],Conducta ante contactos

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clase otitis tres

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Clase otitis tres