A 4-year-old Aboriginal boy from a remote community has had persistent bilateral otorrhoea for 6 weeks and difficulty hearing. Otoscopy shows perforat...

Question

A 4-year-old Aboriginal boy from a remote community has had persistent bilateral otorrhoea for 6 weeks and difficulty hearing. Otoscopy shows perforated tympanic membranes with purulent discharge. What is the most appropriate management priority?

Accepted Answer

Start topical quinolone ear drops and arrange ENT/audiology referral

Answer

Reassure and observe, as this will likely resolve spontaneously

Answer

Start oral decongestants and antihistamines

Answer

Insert ear candles to 'clear wax'

Answer

Only perform hearing assessment at school age

au-amc MCQ (SBA): Chronic suppurative otitis media

A 4-year-old Aboriginal boy from a remote community has had persistent bilateral otorrhoea for 6 weeks and difficulty hearing. Otoscopy shows perforated tympanic membranes with purulent discharge. What is the most appropriate management priority?