Pediatrics

7 year old boy with ear pain

Shilpa Gulati on May 26, 2013

How would you treat this patient’s OM?

Expand all answers
Amoxicillin 5 days
Amoxicillin 10 days
Erythromycin 5 days
Erythromycin 10 days

What is the peak age of otitis media?

Expand all answers
1-6 months
6-12 months
1-3 years
3-5 years

Three days later, the same patient presents back in clinic with continued ear pain, fever, and new swelling and redness around his ear with the lobe “sticking out.” Mom reports that he has been taking his prescribed antibiotics daily. What would be your next step?

Expand all answers
Continue course of treatment
Change to oral amoxicillin-clavulanate
Change to IM ceftriaxone
Change to systemic corticosteroids
Tympanocentesis and midde ear fluid culture
Myringotomy and IV antibiotics
This description fits mastoiditis!


Head MRI

How would you treat this patient’s OM?

Expand all answers
Amoxicillin 5 days
Amoxicillin 10 days
Erythromycin 5 days
Erythromycin 10 days

What is the peak age of otitis media?

Expand all answers
1-6 months
6-12 months
1-3 years
3-5 years

Three days later, the same patient presents back in clinic with continued ear pain, fever, and new swelling and redness around his ear with the lobe “sticking out.” Mom reports that he has been taking his prescribed antibiotics daily. What would be your next step?

Expand all answers
Continue course of treatment
Change to oral amoxicillin-clavulanate
Change to IM ceftriaxone
Change to systemic corticosteroids
Tympanocentesis and midde ear fluid culture
Myringotomy and IV antibiotics
This description fits mastoiditis!


Head MRI

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