A 3-year-old boy presents with fever, ear pain and irritability for 24 hours. Otoscopy shows a bulging, erythematous right tympanic membrane with loss...

Question

A 3-year-old boy presents with fever, ear pain and irritability for 24 hours. Otoscopy shows a bulging, erythematous right tympanic membrane with loss of landmarks. He is otherwise well, drinking and afebrile in the clinic. There is no perforation or otorrhoea. What is the most appropriate initial management?

Accepted Answer

Analgesia and watchful waiting with safety-net advice

Answer

Immediate amoxicillin for 7 days

Answer

Immediate combination amoxicillin-clavulanate

Answer

Topical decongestants and antihistamines

Answer

Arrange myringotomy and grommet insertion urgently

au-amc MCQ (SBA): Acute otitis media child