An 11-year-old boy with a history of chronic otitis media with effusion presented with a 10-day history of fever

Question Number 0733

Question:
An 11-year-old boy with a history of chronic otitis media with effusion presented with a 10-day history of fever, right otalgia and occipital headache. Examination of his right ear revealed a thickened, but intact tympanic membrane. Postauricular fluctuance was evident. The remainder of the physical examination, including a neurological exam, was normal. White blood cell count was 18.7 cells/mm3 with a left shift. The most appropriate management would be:

a) No treatment
b) Amoxicillin for 10 days
c) Removal from child care center
d) CT scan
e) myringotomy


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