Author: Domachowske, Joseph; Suryadevara, Manika
Title: Otitis, Sinusitis, and Mastoiditis Cord-id: m2n7x9u0 Document date: 2020_8_6
ID: m2n7x9u0
Snippet: A 13-month-old immunized female is seen in the pediatrician’s office for evaluation of fever. She was well until one week prior to the office visit, when her illness began with a runny nose and mild cough. Three days prior to the office visit, she developed fevers to 103 ° F, increased fussiness, and difficulty sleeping. On physical examination, she is tired and fussy but not toxic in appearance. Rhinorrhea is present. Her right tympanic membrane is erythematous and bulging, with an effusion
Document: A 13-month-old immunized female is seen in the pediatrician’s office for evaluation of fever. She was well until one week prior to the office visit, when her illness began with a runny nose and mild cough. Three days prior to the office visit, she developed fevers to 103 ° F, increased fussiness, and difficulty sleeping. On physical examination, she is tired and fussy but not toxic in appearance. Rhinorrhea is present. Her right tympanic membrane is erythematous and bulging, with an effusion present. Pneumatic otoscopy reveals reduced mobility of the tympanic membrane. She is diagnosed with a right acute otitis media and prescribed amoxicillin to cover for the most common causes of AOM including Streptococcus pneumoniae.
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