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Alphabet Soup: TXA & IVDA

Ear Barotrauma

Mizuho Morrison, DO and Mike Weinstock, MD
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18:29
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No me gusta!

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Tags ear drops · ENT · tympanic membrane perforation

TM perforation may present as pain or bleeding and is managed with steroid drops, either with or without an antibiotic. The TM perforation generally resolves on it’s own without complication

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gmete -

2 thoughts I had after listening to this podcast.
1. If you're ever concerned about a ruptured TM and can't see the TM due to blood and swelling you can try to perform a tympanogram. If you get resistance then you're relatively assured that the TM is intact.
2. I was taught the reason you don't use cortisporin for a ruptured TM is that the polymyxin/neosporin is not safe if it contacts the round window and the fluoroquinolone such as Oflox and Cipro Dex are.

Mike W., MD -

Thx for your comments!
M

Karen H. -

I cannot find the reference for this. We are not allowed to change practice w/o a reference.
I am getting to this late. Karen Hawes, APRN

Mike W., MD -

Will check!
M

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Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF