SJ is a sixteen-month-old boy who is brought to the clinic with a one-day histor
ID: 122948 • Letter: S
Question
SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping. His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours. He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since. On physical exam, his vital signs are normal with the exception of a temperature of 102°F. His weight is 10 kg. Both tympanic membranes (TMs) are erythematous, with the right one more than the left one. The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM. The left TM appears normal. The right TM landmarks are difficult to visualize.
Answer the following questions from the information provided, (Please answer if you provide the answers to all in brief, Thanks)
What data support the diagnosis of AOM and what would be inconclusive?
How would you distinguish AOM and otitis media with effusion (OME)?
What treatment would you suggest?
What types of cautions or instructions would you provide to his mother?
Explanation / Answer
AOM is the most known disease. Its required antibiotic treatment. It is commonly seen in young children. It includes sex predominance, ethnicity, birth order, early occurrence of infection.
When the middle ear becomes inflamed and infected AOM occurs. It is a very much painful ear infection while OME occurs after an ear infection in the middle ear and basically it is a fluid.
The treatment of this an Antibiotic treatment.
The cautions or instructions provide to his mother is a good pedriatic care.
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