A two-year-old male was brought to the because of a chief complaint of fussiness and tugging at his right ear for the past two days. He has had coughing and runny nose for about 5 days that has been treated with an over-the-counter cold medicine. He also has a low-grade fever of about 101 degrees axillary for the past two days. Father smokes cigarettes. Child attends daycare. His past medical history is significant for ear infections in the past, with his last otitis media being 5 months ago treated with amoxicillin.
His immunizations are up to date, including heptavalent pneumococcal vaccine. Physical Exam: VS T 38.4, P 100, RR 28, BP 100/65. He is active, alert to his surroundings and otherwise in no distress. HEENT: Right tympanic membrane is erythematous and bulging with poor mobility on pneumatic otoscopy. Left TM is clear with good mobility. Throat is…
