Integrated management of neonatal and childhood illness

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module 5

6.1 ASSESS EAR PROBLEM
A child with ear problem is assessed for ear pain ear discharge and if discharge is present, how long the child has had discharge, and tender swelling behind the ear, a sign of mastoiditis. Here is the box from the "Assess" column that tells you how to assess a child for ear problem

Ask about ear problem in ALL sick children.
ASK: Does the child have an ear problem? If the mother answers NO, record her answer. Do not assess the child for ear problem. Then check for malnutrition and anaemia. If the mother answers YES, ask the next question

ASK: Does the child have ear pain? Ear pain can mean that the child has an ear infection. If the mother is not sure that the child has ear pain, ask if the child has been irritable and rubbing his ear.
ASK: Is there ear discharge If yes, for how long? Ear discharge is also a sign of infection. When asking about ear discharge, use words the mother understands. If the child has had ear discharge, ask for how long. Give her time to answer the question. She may need to remember when the discharge started. You will classify and treat the ear problem depending on how long the ear discharge has been present.
- An ear discharge that has been present for 2 weeks or more is treated as a chronic ear infection.
Does the child have an ear problem

IF YES ASK LOOK AND FEEL:
•
Is there ear pain
• Look for pus draining from the ear.
• Is there ear discharge
• Feel for tender swelling behind the ear If yes, for how long

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- An ear discharge that has been present for less than 2 weeks is treated as an acute ear infection. You do not need more accurate information about how long the discharge has been present.
LOOK for pus draining from the ear. Pus draining from the ear is a sign of infection, even if the child no longer has any pain. Look inside the child's ear to see if pus is draining from the ear.

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