MedBugs: SAQ #497

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Case: Acute mastoiditis

A 12-month-old girl is brought into your Emergency Department with a painful left ear. She has been seen to pull at her left ear for the last 4 days and mum has been providing her with paracetamol and ibuprofen. She does not have any pre-existing medical conditions or regular medications. Her vital signs are:

RR 26/min
HR 160/min
BP 100/50
Temp 38.4

1. State the most likely diagnosis and (2) common causative organisms 3 marks

2. List (5) clinical features associated with this condition 5 marks

3. State your immediate management steps, including doses if appropriate. 4 marks

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Case: Acute mastoiditis

1. State the most likely diagnosis and (2) common causative organisms 3 marks

2. List (5) clinical features associated with this condition 5 marks

3. State your immediate management steps, including doses if appropriate. 4 marks

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