A 2-year-old girl presents with ear pain and fever 38.8°C for 24 hours. Otoscopy shows a bulging, erythematous tympanic membrane with decreased mobili...

Question

A 2-year-old girl presents with ear pain and fever 38.8°C for 24 hours. Otoscopy shows a bulging, erythematous tympanic membrane with decreased mobility on the left. She is eating and drinking reasonably and has no severe systemic symptoms. According to CPS guidance, what is the most appropriate management?

Accepted Answer

Observation with safety-net prescription for amoxicillin if not improved in 24-48 hours

Answer

Immediate high-dose amoxicillin for 10 days

Answer

Immediate amoxicillin-clavulanate for 14 days

Answer

No treatment or follow-up is required

Answer

Topical antibiotic ear drops alone

ca-mccqe1 MCQ (SBA): Acute otitis media