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EasyPaediatricsAcute otitis mediaau-amcau-racgp

A 5-year-old boy presents with fever and irritability. Examination reveals a bulging, erythematous right tympanic membrane. He is systemically well, drinking adequately and has had symptoms for 24 hours. He has no perforation, mastoiditis or high-risk comorbidities. According to paediatric guidelines, what is the most appropriate initial management?

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