A 3-year-old boy presents with acute ear pain and fever 38.5 °C for 24 hours. He is otherwise well, fully immunised, with no otorrhoea. Otoscopy shows...

Question

A 3-year-old boy presents with acute ear pain and fever 38.5 °C for 24 hours. He is otherwise well, fully immunised, with no otorrhoea. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He has no risk factors for severe disease. What is the most appropriate initial management?

Accepted Answer

Analgesia with paracetamol or ibuprofen and observation

Answer

Immediate oral amoxicillin for 7 days

Answer

Immediate high-dose amoxicillin-clavulanate

Answer

Topical ciprofloxacin ear drops

Answer

Decongestants and antihistamines for 5 days

au-amc MCQ (SBA): Acute otitis media