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EasyPaediatricsAcute otitis mediaau-amcau-racgp

A 6-year-old boy presents with fever and ear pain for 24 hours. He is otherwise well, with no vomiting and is eating and drinking. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He has no chronic illnesses and is not Aboriginal or Torres Strait Islander. According to Australian paediatric guidelines, what is the most appropriate initial management?

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