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April 12, 2024

Three days after beginning oral amoxicillin therapy for OM, a 4-year-old boy has continued fever, ear pain

Three days after beginning oral amoxicillin therapy for OM, a 4-year-old boy has continued fever, ear pain, and swelling with redness behind his ear. His ear lobe is pushed superiorly and laterally; he has tenderness posterior to the ear. He seems to be doing well otherwise. Which of the following is the most appropriate course of action? A Change to oral cefdinir B Myringotomy and parenteral antibiotics C Nuclear scan of the head D Topical steroids E Tympanocentesis

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