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EasyPaediatricsAcute otitis mediaau-amcau-racgp

A 3-year-old child presents with right ear pain and fever to 38.3°C for 24 hours. Otoscopy shows a bulging, erythematous tympanic membrane with loss of light reflex. He is otherwise well and systemically stable. He is non-Indigenous and lives in metropolitan Melbourne. According to RCH and Therapeutic Guidelines, which management is most appropriate?

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