Acute Otitis Media in Children: Getting It Right

Alejandro Hoberman, MD; Nader Shaikh, MD, MPH; Jack L. Paradise, MD


December 26, 2013

Clinical Presentation: A Toddler With Rhinorrhea, Fever, and Ear-Tugging

An 18-month-old boy is in your office today with a 5-day history of rhinorrhea. During the past 24 hours, he has developed low-grade fever and "tugging at his ears." On further questioning, his mother reports that he has been slightly fussier than usual and woke up twice during the previous night. Examination reveals that soft cerumen almost completely blocks visualization of the tympanic membranes (TMs).


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