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EasyPaediatricsAcute otitis mediaca-mccqe1ca-ccfp

A 14-month-old girl presents with 3 days of fever to 39.5°C and ear pulling. Otoscopy shows an erythematous, bulging left tympanic membrane with purulent effusion. She is otherwise well and immunised. According to the CPS acute otitis media guideline, what is the most appropriate management?

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