Step 1

Pathology 21

A 4-year-old girl is brought to the pediatric clinic by her father with right ear pain and fever for the past 4 days. She has been pulling her left ear frequently for relief. She did have a sore throat and fever last year which was treated with antibiotics. The patient's father reports urticaria occurred following treatment with penicillin. Her temperature today is 38°C (100.4°F), pulse is 100 beats/min, respirations are 22/min, and blood pressure is 100/60 mm Hg. Physical examination shows an opaque, bulging tympanic membrane with diminished light reflex.

Which of the following is the most appropriate treatment for the patient's condition?

  • A) Oral amoxicillin
  • B) Oral amoxicillin-clavulanate
  • C) Oral azithromycin
  • D) Topical ciprofloxacin
  • E) Tympanic tube placement


Neal Deot


Dr. Ted O'Connell


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