Question

A 2-year-old boy with 2 days of fever and ear pain is brought to clinic. Otoscopy shows a mildly erythematous, non-bulging tympanic membrane with good mobility. He is otherwise well. What is the most appropriate management?

Accepted Answer

Watchful waiting with analgesia and close follow-up

Answer

Immediate antibiotics for acute otitis media

Answer

Myringotomy and tympanostomy tube insertion

Answer

High-dose oral steroids

Answer

CT scan of temporal bones

Practice question

A 2-year-old boy with 2 days of fever and ear pain is brought to clinic. Otoscopy shows a mildly erythematous, non-bulging tympanic membrane with good mobility. He is otherwise well. What is the most appropriate management?