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EasyPaediatricsAcute otitis mediaau-racgpau-amc

A 3-year-old boy presents with 24 hours of fever and ear pain. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He is otherwise well, with no otorrhoea, no chronic ear disease and no significant comorbidities. According to Royal Children's Hospital guidelines, which is the most appropriate initial management?

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