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EasyInfectious DiseasesAcute otitis media childau-amcau-racgp

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?

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