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EasyPaediatricsAcute otitis mediaau-racgpau-amc

A 3-year-old boy is brought to a suburban Melbourne general practice with 24 hours of right ear pain and fever to 38.5°C. He is otherwise well, feeding normally and has no vomiting. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He is not Aboriginal or Torres Strait Islander and has no chronic disease. What is the most appropriate initial management?

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