Question

A 3-year-old Aboriginal girl living in a remote community is seen in clinic. She has a history of recurrent otitis media with effusion and delayed speech. Otoscopy today again shows bilateral middle ear effusions. What is the most appropriate management priority?

Accepted Answer

Arrange early audiology assessment and ENT referral for consideration of tympanostomy tubes

Answer

Reassure and review in 12 months

Answer

Start long-term oral antibiotics

Answer

Prescribe decongestant nasal spray

Answer

Advise avoidance of swimming

Practice question

A 3-year-old Aboriginal girl living in a remote community is seen in clinic. She has a history of recurrent otitis media with effusion and delayed speech. Otoscopy today again shows bilateral middle ear effusions. What is the most appropriate management priority?