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EasyPaediatricsAcute otitis mediaau-amcau-racgp

A 4-year-old boy presents with 24 hours of ear pain and fever 38.5 °C. He is otherwise well and systemically stable. Otoscopy shows a bulging, erythematous right tympanic membrane with no perforation. Parents are concerned about antibiotics. According to Australian paediatric guidelines, what is the most appropriate initial management?

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