Otoscopy Game
GPEP Mode EnabledGame Info
The game shows you otoscopic images (from among ~140 images in the database) and you have to diagnose as AOM (Acute Otitis Media), OME (Otitis Media with Effusion), or No Effusion within the time limit. There are two difficulty modes:
GPEP Mode: Lose a life if you get it wrong or take longer than 10 seconds. 5 lives. 10 points for each correct answer.
You "win" GPEP mode if you get 1,000 points.
Fellow Mode: Lose a life if you get it wrong or take longer than 6 seconds. 3 lives. Maximum 5 points for each correct answer, 1 point less for every extra second taken. Images are smaller with random blur factor, random amount of wax obstruction, and chance of wiggle/moan/cry. You start with three wax extraction tools, you get an extra tool for every 5 correct answers in a row (streak).
You "win" fellow mode if you get 500 points.
Keyboard Shortcuts: A: AOM, O: OME, N: No Effusion, E: Extract Wax
Credits
Coded by Dr Jeremy Steinberg 2024
Inspired by now apparently unavailable game by Adam Handen from University of Pittsburgh School of Medicine
Images are courtesy of David P. McCormick
Diagnostic Criteria
Diagnostic Criteria for AOM
- Moderate to severe bulging of tympanic membrane
- New onset of otorrhea not new to acute otitis externa
- Mild bulging ( full) AND recent ( less than 48 hours-acute) onset of ear pain
- Mild bulging and intense erythema
A, Normal TM. B, TM with mild bulging. C, TM with moderate bulging. D, TM with severe bulging. Courtesy of Alejandro Hoberman, MD.
Diagnostic Criteria for OME
Otitis Media with Effusion (OME) is the condition of fluid present in the middle ear. Inflammation may be associated with OME. The spectrum of tympanic membrane findings can be challenging for one to appreciate the subtle differences in the progression from MEE and OME to AOM
Visualization of the tympanic membrane is critical to differentiate between AOM and OME. A middle ear effusion may be present after resolution of an episode of AOM, or it may develop because of a viral upper respiratory tract infection that produces eustachian tube dysfunction. In both of these settings, the middle ear effusion is not an infectious process and will not benefit from antibiotic therapy.
A, OME with air-fluid levels and bubbles. B, OME with prominent malleus and amber colored fluid. C, OME with prominent malleus and minimal erythema (injection). D, OME with opaque appearance and white colored fluid.
Diagnostic criteria courtesy of University of Winsconsin
Score: 0
High Score: 0
Streak: 0
