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EasyPaediatricsAcute otitis mediaau-amcau-racgp

A 3-year-old boy presents with 24 hours of ear pain and fever. He is otherwise healthy, fully immunised, and not Aboriginal or Torres Strait Islander. Examination shows a bulging, erythematous right tympanic membrane with reduced mobility. He is alert and drinking well. What is the most appropriate initial management?

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