Parents Personal and Medical History Regarding the Ear Infection of a Three Years Old Boy

Introduction

The Acute otitis media also are known as an ear infection is mainly suspected in children with a clear history of head-neck pains and symptoms characteristics. The children usually pull the affected ears and hairs around, especially when lying down. Besides, an increase in eustachian tube dysfunction mainly when the child is in a recumbent position leads to an ear infection. It is common in children between the age of six months and three years of age (Oh & Kim, 2016). They normally happen whenever a child experiences cold some times because of frequent fever. The infection usually causes inflammation of the internal fluids in the ear. However, the child has undergone various diagnosis since childhood times. He is experiencing ear pain over time, crying more than normal without valid reasons, frequent fever, lacking the appetite to eat, loss of sleep accompanied by ear pain especially when lying down and body imbalances. The parent visits several health centers where they diagnose the child with a different childhood disease.

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Therefore, the child undergoes through several medical prescriptions which fail to cure him since they are not the right ones for an ear infection. However, there was a discrepancy in prescribing little blood spectrum antibiotics to black compared to the white children. The black children receive underdiagnosis and care treatment compared to the whites leading to a racial biasing which has a significant influence on antibiotic prescriptions.

Observations During Physical Assessment Including Negative and Positive Findings

During the physical assessment of the child, I made several observations such as an ear infection usually gets better without the use of antibiotics and ill effects. The observational option usually minimizes the usage and exposure of unnecessary antibiotics side effects on a child. Besides, they also reduce the chances of superior bacteria to develop since the antibiotics cannot kill them. (Musso & Crews,2016). Many children under the age of three years diagnose with observation option to treat an ear infection. The antibiotics rarely relieve the pain, but aspirin will treat the disease completely. The physical exams of an ear infection involve regular checkups by the health specialists in countering to check the progress of the recovery.

However, during the exam findings, the doctor looks inside the child's ear with the use of an otoscope machine. The ear infection is painful as the Eustachian tubes blocks creating a good environment for bacteria growth. The infection usually builds up in the middle ear leading to mucosal irritation that causes pain. Moreover, the patient did not have any psychosocial issues since the parent visited the health care early enough before further complications.

Differential Diagnoses of an Ear Infection

There are three possible diagnoses of an ear infection namely acute otitis media, otitis media, and laryngitis. The Acute Otis Media (AOM) is usually the fluids in the ear which varies due to the color, transparency, and motion of a patient. However, the AOM is the most common ear infection in children as the fluids accumulate behind the eardrum causing pain and hearing problems. The middle ear usually swells which leads to pains especially when the child is lying down.

Plan for Treatment and Management of An Ear Infection

Antibiotics therapy usually prevents reoccurrence of ear infections to children. The low doses of antibiotics such as aspirin prevent infections and frequencies of the disease. However, it can increase the risk of resistant infections. Alternatively, surgical removal of adenoids also treats an ear infection which blocks the eustachian tube causing pains and hearing problems (Luers & Huttenbrink,2016).

The "Aha" Moment

My aha moment is when I decided on visiting a health center for the child ear infections treatment. I made an early choice that enhanced treatment and prevented further complications for my child. However, in similar patient evaluation, I would prescribe a different antibiotic drug to avoid re-occurrence of the infection. I would also advise the parent on things to avoid whenever handling the child such as disinfecting playing tools and avoiding sharing food with other sick children.

References

Luers, J. C., & Huttenbrink, K. B. (2016). Surgical anatomy and pathology of the middle ear. Journal of anatomy, 228(2), 338-353.

Musso, M. F., & Crews, J. D. (2016). Infections of the external ear. In Infectious Diseases in Pediatric Otolaryngology (pp. 15-28). Springer, Cham.

Oh, J. H., & Kim, W. J. (2016). The interaction between allergy and middle ear infection. Current allergy and asthma reports, 16(9), 66.