A 2-year-old boy has fever and ear pain after 3 days of rhinorrhea. Otoscopy shows a bulging erythematous right tympanic membrane with decreased

Question

A 2-year-old boy has fever and ear pain after 3 days of rhinorrhea. Otoscopy shows a bulging erythematous right tympanic membrane with decreased mobility. There is no mastoid tenderness. He is otherwise well. Which of the following is the most appropriate at this time?

Accepted Answer

Treat with high-dose amoxicillin

Answer

Perform tympanostomy today

Answer

Treat with antihistamines alone

Answer

Use topical ear drops as sole therapy

Answer

Order temporal bone CT

Acute otitis media — USMLE Step 3 MCQ

A 2-year-old boy has fever and ear pain after 3 days of rhinorrhea. Otoscopy shows a bulging erythematous right tympanic membrane with decreased mobility. There is no mastoid tenderness. He is otherwise well. Which of the following is the most appropriate at this time?