Child age 8 months.
Treated with antibiotics 3 weeks ago for AOM. Puffy, fussing with ears, restless sleep, poor appetite, URI symptoms. Temperature 39.4.
Left ear, middle ear effusion, not full, no bulging, no erythema, immobile.
Right ear: initially obstructed by cerumen. After cerumen was removed, right tympanic membrane same as left.
Questions for discussion with faculty
- How would you treat this patient?
- The mother would like to know how she might remove wax at home – what would you tell her?