An otherwise healthy 18-month-old has fever 39.4°C, marked otalgia and a bulging opaque tympanic membrane. Follow-up would be difficult because the

Question

An otherwise healthy 18-month-old has fever 39.4°C, marked otalgia and a bulging opaque tympanic membrane. Follow-up would be difficult because the family lives four hours from care. What is the best management?

Accepted Answer

Start high-dose amoxicillin and arrange reassessment accessible to the family

Answer

Use oral azithromycin for five days with nursing-station reassessment

Answer

Observe for 72 hours using telephone reassessment and a delayed prescription

Answer

Use topical ciprofloxacin drops for seven days with telephone reassessment

Answer

Refer for tympanostomy assessment after completing this episode’s symptom treatment

Abdominal aortic aneurysm screening — CCFP MCQ

An otherwise healthy 18-month-old has fever 39.4°C, marked otalgia and a bulging opaque tympanic membrane. Follow-up would be difficult because the family lives four hours from care. What is the best management?