Primary care physician’s office
THOMAS BURLEY and
Primary Care Physician
Anthony Carlston
10 months and then 15 months
- Low grade fever
- Irritability + fussiness
Cold previous week
- No sign of teething
- Normal throat
- Temperature 37.8°C
- Fontanelles + lymph nodes + abdominal exam = normal
- 28.7 inches
- 20.3 lbs
- Bulging + discolored eardrums
Middle ear infection
- ATB: amoxicillin twice daily over 10 days
- Tylenol
Daycare, older siblings, recent history of ATB use, young age
Symptoms should start to resolve over the next 48 to 72 hours
O/E: Fluid in Anthony’s ears
Treatment: à Wait and see
What treatment is not recommended? ATB, decongestants and antihistamines
Prognosis: Anthony will probably be fine but observation for hearing loss. Check up in 3 months.
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